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Dr. Brandon Kenneth Fornwalt, MD,PHD
Diagnostic Radiology Physician in Danville, Pennsylvania
NPI 1811212707

Brandon Kenneth Fornwalt is a Diagnostic Radiology Physician based in Danville, PA and is specialized in Diagnostic Radiology. Brandon Kenneth Fornwalt practices in Danville, PA and has the professional credentials of MD,PHD. The NPI Number for Brandon Kenneth Fornwalt is 1811212707 and holds a License No. (Pennsylvania).

The current practice location address for Brandon Kenneth Fornwalt is 100 N Academy Ave, Danville, PA and can be reached out via phone at 570-271-6301 and via fax at 570-271-5976.

Location: 100 N Academy Ave, Danville, PA, 17822-4903
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811212707
Provider Name
Brandon Kenneth Fornwalt
Credential
MD,PHD
Provider Entity Type
Individual
Gender
Male
Address
100 N Academy Ave, Danville, PA, 17822-4903
Phone Number
570-271-6301
Fax Number
570-271-5976
Provider Enumeration Date
04/02/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
100 N Academy Ave
City
Danville
State
Pennsylvania
Zip
17822-5724
Phone Number
570-271-6301
Fax Number
570-271-5976
person
Provider Business Mailing Address Details
Address
100 N Academy Ave
City
Danville
State
Pennsylvania
Zip
17822-5724
Phone Number
570-271-6301
Fax Number
570-271-5976
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
MD467471 (Pennsylvania)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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