# FOOT AND ANKLE CLINIC OF SPOKANE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Surgery Center of Spokane
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497839823
- **Authorized official:** DR. JACQUELINE MENDOZA BABOL DPM (OWNER- DOCTOR)
- **Authorized official phone:** (509) 928-8181

## Contact information

- **Practice address:** 205 N UNIVERSITY RD STE 4, SPOKANE VALLEY, WA 99206-5094
- **Practice address phone:** (509) 928-8181
- **Practice address fax:** (509) 926-1247
- **Mailing address:** 9116 E SPRAGUE AVE \# 278, SPOKANE VALLEY, WA 99206-3601
- **Mailing address phone:** (509) 928-8181
- **Mailing address fax:** (509) 926-1247

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | PO00000715 | WA | Yes |

## Other

- **Enumeration date:** 10/24/2006
- **Last updated:** 04/20/2008

## 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 |