Individual
DR. JOHN W SCIVALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2227 OLYMPIC BLVD, WALNUT CREEK, CA 94595-1623
(925) 937-2860
(925) 937-5565
Mailing address
2227 OLYMPIC BLVD, WALNUT CREEK, CA 94595-1623
(925) 937-2860
(925) 937-5565
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
E4319
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4319
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E43190
—
CA
Enumeration date
09/01/2005
Last updated
11/26/2024
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