JOHN W. SCIVALLY D.P.M INC NPI 1639355381

NPI Information

JOHN W. SCIVALLY, D.P.M INC is a foot and ankle surgery podiatrist in Walnut Creek, CA. JOHN W. SCIVALLY, D.P.M INC NPI is 1639355381. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Bay Area Foot And Ankle Associates.

The provider's business location address is:

130 LA CASA VIA STE 204
BLDG. 1
WALNUT CREEK, CA
ZIP 94598-028
Phone: (925) 937-2860

The provider's authorized official is John W Scivally .
The authorized official title is Owner/ Physician and has the following contact phone number (925) 937-2860.

The enumeration date for this NPI number is 1/11/2008 and was last updated on 9/29/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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