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Brandon Eugene Fornwalt
Otolaryngology Physician in Glendale, Arizona
NPI 1912407172

Brandon Eugene Fornwalt is a Otolaryngology Physician based in Scottsdale, AZ. Brandon Eugene Fornwalt practices in Glendale, AZ. The NPI Number for Brandon Eugene Fornwalt is 1912407172 and holds a License No. 009926 (Arizona).

The current practice location address for Brandon Eugene Fornwalt is 18699 N 67Th Ave Ste 300, Glendale, AZ and can be reached out via phone at 623-566-4718 and via fax at 523-566-4820.

Location: 18699 N 67Th Ave Ste 300, Glendale, AZ, 85260-6280
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912407172
Provider Name
Brandon Eugene Fornwalt
Credential
Provider Entity Type
Individual
Gender
Male
Address
18699 N 67Th Ave Ste 300, Glendale, AZ, 85260-6280
Phone Number
623-566-4718
Fax Number
523-566-4820
Provider Enumeration Date
02/14/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
18699 N 67Th Ave Ste 300
City
Glendale
State
Arizona
Zip
85308-7149
Phone Number
623-566-4718
Fax Number
523-566-4820
person
Provider Business Mailing Address Details
Address
18699 N 67Th Ave Ste 300
City
Glendale
State
Arizona
Zip
85308-7149
Phone Number
623-566-4718
Fax Number
523-566-4820
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
-
Taxonomy
207Y00000X
License No.
009926 (Arizona)
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
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