Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRANDON EUGENE FORNWALT
ActiveOtolaryngology · GLENDALE, AZ
Registration Details
- NPI Number
- 1912407172
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 14, 2018 (8.1846356068376 yrs)
- Last Updated
- Jul 3, 2023
- License
-
009926 (AZ)
Practice Information
- Address
-
18699 N 67TH AVE STE 300GLENDALE, AZ, 853087149Browse AZ providers · Browse ZIP 85308
- Phone
- 6235664718
- Fax
- 5235664820
- Primary Specialty
-
Otolaryngology
207Y00000X
Other Otolaryngology Providers in GLENDALE, AZ
| Name | Credential | NPI |
|---|---|---|
| RAVI P AGARWAL | MD | 1588647424 |
| SUDHIR P AGARWAL | MD | 1184607004 |
| DR. GORDON E CHAIT | M.D. | 1063482024 |
| DR. DAVID L SIMMS | M.D. | 1053381533 |
| ISHRAT HAKIM | MD | 1790731750 |
| ELLIOT MARTIN LIBLING | MD | 1528096989 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.