SearchArizona207Y00000X

Brandon Fornwalt

NPI 1912407172 · on the registry since 2018

Practice

Address
18699 N 67th Ave Ste 300
Glendale, AZ 85308
Phone
(623) 566-4718
Fax
(523) 566-4820
Organisation at this address
Akdhc, Llc
Daniel H. Hu, Md Pllc
William H Castro Md Pc
Bradley J Folkestad, Md, Ltd
Sonoran Desert Physicians Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
28

Additional practice sites

  • 9250 W Thomas Rd Ste 350, Phoenix, AZ

Registry record

Primary taxonomy
207Y00000X
207Y00000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-07-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona