Organization
WALTER JOLLEY DPM A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER HAROLD JOLLEY DPM (PROVIDER/OWNER)
(858) 560-0390
Entity
Organization
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
Enumeration date
11/20/2007
Last updated
11/20/2007
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