| Harry Ralph Vanderwal Jr, MD | |
| 
					420 N 2nd Ave, Ste 100, Sandpoint, ID 83864-1565  | |
| (208) 265-2242 | |
| (208) 265-8214 | 
| Full Name | Harry Ralph Vanderwal Jr | 
|---|---|
| Gender | Male | 
| Speciality | Pediatrics | 
| Location | 420 N 2nd Ave, Sandpoint, Idaho | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1881803971 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | M 9823 (Idaho) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Harry Ralph Vanderwal Jr, MD 420 N 2nd Ave, Ste 100, Sandpoint, ID 83864-1552 Ph: (208) 265-2242  | Harry Ralph Vanderwal Jr, MD 420 N 2nd Ave, Ste 100, Sandpoint, ID 83864-1565 Ph: (208) 265-2242  | 
Shannon Marie Seckel, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 420 N 2nd Ave Ste 100, Sandpoint, ID 83864 Phone: 208-265-2242  | |
Dr. Andrew Benjamin Vizcarra, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 810 Sixth Ave, Sandpoint, ID 83864 Phone: 208-263-7101  | |
Mrs. Katherine Magee, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 420 North 2nd Ave, Ste 100, Sandpoint, ID 83864 Phone: 208-265-2242 Fax: 208-265-8214  | |
Dr. John M Seaman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 420 N 2nd Ave, Sandpoint Pediatrics - Kaniksu Health Services, Sandpoint, ID 83864 Phone: 208-265-2242  |