Individual provider · Type 1 NPI

Brandon Kenneth Fornwalt, MD, PhD

Diagnostic Radiology Physician · Danville, PA

NPI number 1811212707 Active

Practice location

100 N Academy Ave
Danville, PA 17822-5724

Call (570) 271-6301 Map

Fax (570) 271-5976

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Diagnostic Radiology Physician Primary 2085R0202XMD467471 (PA)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1811212707

Brandon Kenneth Fornwalt, MD, PhD's National Provider Identifier is 1811212707, issued on Apr 2, 2010. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Danville, PA. The record was last updated on Jul 5, 2019.