# BRADLEY L NEWSWANDER, DPM,PLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Impression Foot & Ankle
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740488246
- **Authorized official:** BRADLEY L NEWSWANDER DPM (OWNER)
- **Authorized official phone:** (480) 840-3457

## Contact information

- **Practice address:** 37200 N GANTZEL RD STE 250, SAN TAN VALLEY, AZ 85140-7368
- **Practice address phone:** (480) 321-8267
- **Practice address fax:** (480) 840-3458
- **Mailing address:** 37200 N GANTZEL RD STE 250, SAN TAN VALLEY, AZ 85140-7368
- **Mailing address phone:** (480) 321-8267
- **Mailing address fax:** (480) 840-3458

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207XX0004X | Orthopaedic Foot and Ankle Surgery Physician | — | NULL | Yes |
| 207XX0004X | Orthopaedic Foot and Ankle Surgery Physician | — | — | Yes |
| 261QP1100X | Podiatric Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 07/05/2007
- **Last updated:** 06/23/2020