Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dane Vander Wall, ND

Individual provider Medical Specialty Clinic/Center · NPI 1053190348

Dane Vander Wall, ND is a Medical Specialty Clinic/Center in Boise, Idaho. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
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Practice location Address checks out

9757 W Arnold Rd
Boise, ID 83714-8210
Phone: (720) 220-5331
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Specialty Clinic/Center (primary) Taxonomy 261QM2500X

Record details

NPI number1053190348
Entity typeIndividual (Type 1)
GenderMale
Credentials ND
Sole proprietorYes
NPI enumeratedSeptember 26, 2023
Last updated in NPPESSeptember 26, 2023
Certification dateSeptember 26, 2023

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