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BRADLEY L NEWSWANDER DPMPLC NPI 1740488246


NPI Information

NPI: 1740488246
Provider Name: BRADLEY L NEWSWANDER, DPM,PLC

Doing Business As: IMPRESSION FOOT & ANKLE

Classification: Orthopaedic Surgery - 207XX0004X
Entity Type: Organization

Specialization: Foot and Ankle Surgery

Address:
37200 N GANTZEL RD STE 250
SAN TAN VALLEY, AZ
ZIP 85140
Phone: (480) 321-8267
Get Directions

BRADLEY L NEWSWANDER, DPM,PLC is a foot and ankle surgery orthopaedic surgery in San Tan Valley, AZ. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. BRADLEY L NEWSWANDER, DPM,PLC NPI is 1740488246. The provider is registered as an organization entity type.
The provider Is Doing Business As Impression Foot & Ankle.

The provider's business location address is:

37200 N GANTZEL RD STE 250
SAN TAN VALLEY, AZ
ZIP 85140-368
Phone: (480) 321-8267
Fax: (480) 840-3458

The provider's authorized official is Bradley L Newswander .
The authorized official title is Owner and has the following contact phone number (480) 840-3457.

The enumeration date for this NPI number is 7/5/2007 and was last updated on 6/23/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP1100XClinic/CenterPodiatricNo
2207XX0004XOrthopaedic SurgeryFoot and Ankle SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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