John W Wall, D.P.M.
Podiatrist in Burbank, CA. Individual provider (NPI-1).
NPI number1043229727
StatusActive
Last updated in NPPESOct 16, 2008
Details
- NPI
- 1043229727
- Entity type
- Individual (NPI-1)
- Name
- John W Wall
- Credential
- D.P.M.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 5, 2006
- Last updated
- Oct 16, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | E1369 | CA | Yes |
Practice location
1411 W Olive AveSuite C
Burbank, CA 91506-2427
Phone 818-846-4122 · Fax 818-848-8634
Mailing address
1411 W Olive AveSuite C
Burbank, CA 91506-2427
Phone 818-846-4122 · Fax 818-848-8634
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 12 Podiatrist providers in Burbank · All 5,256 providers in Burbank
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