Individual provider · Type 1 NPI

Brandon Eugene Fornwalt

Otolaryngology Physician · Glendale, AZ

NPI number 1912407172 Active

Practice location

18699 N 67th Ave Ste 300
Glendale, AZ 85308-7149

Call (623) 566-4718 Map

Fax (523) 566-4820

Mailing address

9097 E Desert Cove Ave Ste 200
Scottsdale, AZ 85260-6280

Other practice locations

  • 9250 W Thomas Rd Ste 350, Phoenix, AZ 85037-3385 · (623) 848-8890

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology Physician Primary 207Y00000X009926 (AZ)

Otolaryngology Physician: 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 injurie…

Another provider at this address

Other otolaryngology physician providers in Glendale

See all in Glendale →

About NPI 1912407172

Brandon Eugene Fornwalt's National Provider Identifier is 1912407172, issued on Feb 14, 2018. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in Glendale, AZ. The record was last updated on Jul 3, 2023.