Dr. Brandon Kenneth Fornwalt, MD, PHD
Dr. Brandon Kenneth Fornwalt, MD, PHD is a Student in an Organized Health Care Education/Training Program in Danville, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2010.
- Licensed in
- PA
- In the registry since
- 2010
- Specialties on file
- 2
What do these letters mean?
Practice location Address checks out
Danville, PAFax: (570) 271-5976
No coordinates on file. Search this address in Google Maps
Specialties & licences
| Diagnostic Radiology Physician (primary) | Taxonomy 2085R0202X · Licence MD467471 (PA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1811212707 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD , PHD |
| Sole proprietor | No |
| NPI enumerated | April 2, 2010 |
| Last updated in NPPES | July 5, 2019 |
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