# SPOKANE FOOT CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427375682
- **Authorized official:** DR. DOUGLAS PARK ROMNEY DPM (PRESIDENT)
- **Authorized official phone:** (509) 483-9363

## Contact information

- **Practice address:** 123 W FRANCIS AVE, SPOKANE, WA 99205-6348
- **Practice address phone:** (509) 483-9363
- **Practice address fax:** (509) 483-0355
- **Mailing address:** 123 W FRANCIS AVE, SPOKANE, WA 99205-6348
- **Mailing address phone:** (509) 483-9363
- **Mailing address fax:** (509) 483-0355

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | L10009334 | WA | Yes |

## Other

- **Enumeration date:** 04/28/2010
- **Last updated:** 04/28/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | G319208200 | MEDICARE GROUP NUMBER | WA |