institution
John W. Scivally, D.p.m Inc
Foot & Ankle Surgery Podiatrist in Walnut Creek, California
NPI 1639355381

John W. Scivally, D.p.m Inc is a Foot & Ankle Surgery Podiatrist based in Walnut Creek, CA and is specialized in Foot & Ankle Surgery. John W. Scivally, D.p.m Inc practices in Walnut Creek, CA. The NPI Number for John W. Scivally, D.p.m Inc is 1639355381 and holds a License No. E4319 (California).

The current practice location address for John W. Scivally, D.p.m Inc is 2227 Olympic Blvd, Walnut Creek, CA and can be reached out via phone at 925-937-2860 and via fax at 925-937-5565.

Location: 2227 Olympic Blvd, Walnut Creek, CA, 94595-1623
institution
Provider Profile Details
NPI Number
1639355381
Provider Name
John W. Scivally, D.p.m Inc
Credential
Provider Entity Type
Organization
Address
2227 Olympic Blvd, Walnut Creek, CA, 94595-1623
Phone Number
925-937-2860
Fax Number
925-937-5565
Provider Enumeration Date
01/11/2008
Last Update Date
12/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000E43190 05 CA
institution
Provider Business Practice Location Address Details
Address
2227 Olympic Blvd
City
State
Zip
94595-1623
Phone Number
925-937-2860
Fax Number
925-937-5565
person
Provider Business Mailing Address Details
Address
2227 Olympic Blvd
City
State
Zip
94595-1623
Phone Number
925-937-2860
Fax Number
925-937-5565
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
E4319 (California)
Definition
Definition to come...
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