John W Wall, D.P.M.

NPI #1043229727 in Burbank, California

Provider Information

NPI Number
1043229727
Entity Type
Individual
Name
John W Wall, D.P.M.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Podiatrist
Credential
D.P.M.
Enumeration Date
Aug 5, 2006
Last Updated
Oct 16, 2008

Practice Location

Address
1411 W OLIVE AVE
Address 2
SUITE C
ZIP Code
91506-2427
Phone
(818) 846-4122

Specialties & Taxonomy Codes

Specialty
Podiatrist

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