IndividualActive
Harry Vanderwal, MD
NPI 1881803971 · Pediatrics Physician · Sandpoint, ID
Provider details
- NPI number
- 1881803971
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- M 9823 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
420 N 2nd Ave
Ste 100
Sandpoint, ID 83864-1565
Phone: (208) 265-2242
Fax: (208) 265-8214
Approximate (ZIP-level) locationGet directions
Mailing address
420 N 2nd Ave
Sandpoint, ID 83864-1552
Registry dates
- Enumerated
- 2007-05-22
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.