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Organization
SCOTT VANDER WALL, DC, PC
Active
Organization
SCOTT VANDER WALL, DC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT VANDER WALL DC (PRESIDENT)
(541) 317-9799
Entity
Organization
Contact information
Practice address
243 SW SCALEHOUSE LOOP, SUITE 5B, BEND, OR 97702-1558
(541) 317-9799
Mailing address
243 SW SCALEHOUSE LOOP, SUITE 5B, BEND, OR 97702-1558
(541) 317-9799
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3638
OR
Other
Enumeration date
07/06/2006
Last updated
08/22/2020
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