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Organization

JOHN W. SCIVALLY, D.P.M INC

Active
Other names
Bay Area Foot and Ankle Associates
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN W SCIVALLY D.P.M (OWNER/ PHYSICIAN)
(925) 937-2860
Entity
Organization

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
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4319
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000E43190
CA
Enumeration date
01/11/2008
Last updated
11/26/2024
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