Individual
DR. WALTER HAROLD JOLLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
5222 BALBOA AVE, SUITE 52, SAN DIEGO, CA 92117-6904
(858) 560-0390
(858) 560-0333
Mailing address
5222 BALBOA AVE, SUITE 52, SAN DIEGO, CA 92117-6904
(858) 560-0390
(858) 560-0333
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E1540
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E1540
PODIATRICMEDICALLICENSE
CA
Enumeration date
07/09/2006
Last updated
07/08/2007
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