Dane Vander Wall, ND

NPI #1053190348 in Boise, Idaho

Provider Information

NPI Number
1053190348
Entity Type
Individual
Name
Dane Vander Wall, ND
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Clinic/Center - Medical Specialty
Credential
ND
Enumeration Date
Sep 26, 2023
Last Updated
Sep 26, 2023

Practice Location

Address
9757 W ARNOLD RD
City
Boise
State
Idaho
ZIP Code
83714-8210
Phone
(720) 220-5331

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Medical SpecialtyMedical Specialty

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