# 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:** 1548252968
- **Authorized official:** DR. JACQUELINE M BABOL DPM (DOCTOR-OWNER)
- **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, STE 278, SPOKANE VALLEY, WA 99206
- **Mailing address phone:** (509) 928-8181
- **Mailing address fax:** (509) 926-1247

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 50-C0001051 | WA | Yes |

## Other

- **Enumeration date:** 08/22/2005
- **Last updated:** 04/20/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 490001898 | RAILROAD MEDICARE | WA |
| 05 | — | 7045289 | — | WA |