Organization
BRADLEY L NEWSWANDER, DPM,PLC
Active
Other names
Impression Foot & Ankle
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY L NEWSWANDER DPM (OWNER)
(480) 840-3457
Entity
Organization
Contact information
Practice address
37200 N GANTZEL RD STE 250, SAN TAN VALLEY, AZ 85140-7368
(480) 321-8267
(480) 840-3458
Mailing address
37200 N GANTZEL RD STE 250, SAN TAN VALLEY, AZ 85140-7368
(480) 321-8267
(480) 840-3458
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
—
—
261QP1100X
Podiatric Clinic/Center
—
—
Other
Enumeration date
07/05/2007
Last updated
06/23/2020
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