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Dane Vander Wall, ND
Medical Specialty Clinic/Center in Boise, Idaho
NPI 1053190348

Dane Vander Wall is a Medical Specialty Clinic/Center based in Boise, ID and is specialized in Medical Specialty. Dane Vander Wall practices in Boise, ID and has the professional credentials of ND. The NPI Number for Dane Vander Wall is 1053190348 and holds a License No. (Idaho).

The current practice location address for Dane Vander Wall is 9757 W Arnold Rd, Boise, ID and can be reached out via phone at 720-220-5331.

Location: 9757 W Arnold Rd, Boise, ID, 83714-8210
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Provider Profile Details
NPI Number
1053190348
Provider Name
Dane Vander Wall
Credential
ND
Provider Entity Type
Individual
Gender
Male
Address
9757 W Arnold Rd, Boise, ID, 83714-8210
Phone Number
720-220-5331
Fax Number
Provider Enumeration Date
09/26/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9757 W Arnold Rd
City
State
Zip
83714-8210
Phone Number
720-220-5331
Fax Number
person
Provider Business Mailing Address Details
Address
9757 W Arnold Rd
City
State
Zip
83714-8210
Phone Number
720-220-5331
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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