Individual
BRANDON HOWARD FORESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1111 E MCDOWELL RD, PHOENIX, AZ 85006-2612
(602) 839-2000
Mailing address
21531 N 61ST ST, PHOENIX, AZ 85054-5813
(480) 385-8583
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
5079
AZ
363AS0400X
Surgical Physician Assistant
56001005935
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
689000
—
AZ
Enumeration date
03/02/2011
Last updated
10/16/2025
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