# JOHN W. SCIVALLY, D.P.M INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bay Area Foot and Ankle Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639355381
- **Authorized official:** MR. JOHN W SCIVALLY D.P.M (OWNER/ PHYSICIAN)
- **Authorized official phone:** (925) 937-2860

## Contact information

- **Practice address:** 2227 OLYMPIC BLVD, WALNUT CREEK, CA 94595-1623
- **Practice address phone:** (925) 937-2860
- **Practice address fax:** (925) 937-5565
- **Mailing address:** 2227 OLYMPIC BLVD, WALNUT CREEK, CA 94595-1623
- **Mailing address phone:** (925) 937-2860
- **Mailing address fax:** (925) 937-5565

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | E4319 | CA | Yes |

## Other

- **Enumeration date:** 01/11/2008
- **Last updated:** 11/26/2024