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Organization
FOOT AND ANKLE CLINIC OF SPOKANE INC
Active
Organization
FOOT AND ANKLE CLINIC OF SPOKANE INC
Active
Other names
Surgery Center of Spokane
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELINE MENDOZA BABOL DPM (OWNER- DOCTOR)
(509) 928-8181
Entity
Organization
Contact information
Practice address
205 N UNIVERSITY RD STE 4, SPOKANE VALLEY, WA 99206-5094
(509) 928-8181
(509) 926-1247
Mailing address
9116 E SPRAGUE AVE # 278, SPOKANE VALLEY, WA 99206-3601
(509) 928-8181
(509) 926-1247
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO00000715
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0166415
L & I
WA
05
—
1116623
—
WA
01
—
480034678
RAILROAD
WA
01
—
61101
HUMANA
WA
01
—
693OBO
ASURIS
WA
Enumeration date
10/24/2006
Last updated
04/20/2008
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