BRANDON WALTER HALLAWAY

PHOENIX, AZ
NPI1558937847
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: AZ  R3620)
Enumeration Date2021-05-28
Last Update Date2021-05-28
Business Address
Dr. BRANDON WALTER HALLAWAY DO
9201 N 5TH ST
PHOENIX, AZ 85020-2532
Phone number: 480-882-4545
Mailing Address
Dr. BRANDON WALTER HALLAWAY DO
9202 N 2ND ST
PHOENIX, AZ 85020-2458
Phone number: 602-786-1024