Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DANE VANDER WALL, ND
Active Sole ProprietorDANE VANDER WALL, ND is a Medical Specialty Clinic healthcare provider located in BOISE, Idaho. NPI 1053190348 is currently active in the NPPES registry. Verify at CMS.
Medical Specialty Clinic · BOISE, ID
Registration Details
- NPI Number
- 1053190348
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 26, 2023 (2.8418730006775 yrs)
- Last Updated
- Sep 26, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
9757 W ARNOLD RDBOISE, ID, 837148210Browse ID providers · Browse ZIP 83714
- Phone
- 7202205331
- Primary Specialty
-
Medical Specialty Clinic
261QM2500X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.