Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
HARRY RALPH VANDERWAL JR., MD
Active Sole ProprietorPediatrics · SANDPOINT, ID
Registration Details
- NPI Number
- 1881803971
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 22, 2007 (18.933826899784 yrs)
- Last Updated
- Jul 8, 2007
- License
-
M 9823 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
420 N 2ND AVESTE 100SANDPOINT, ID, 838641565Browse ID providers · Browse ZIP 83864
- Phone
- 2082652242
- Fax
- 2082658214
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in SANDPOINT, ID
| Name | Credential | NPI |
|---|---|---|
| DR. GEORGE V DELAND | MD | 1518959337 |
| DR. JOHN M SEAMAN | MD | 1700968724 |
| MRS. KATHERINE MAGEE | MD | 1699898817 |
| TARA LEIGH WEEKS VIZCARRA | M.D. | 1316471717 |
| DR. ANDREW BENJAMIN VIZCARRA | M.D. | 1629502265 |
| SHANNON MARIE SECKEL | DO | 1316468002 |
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.