Organization
FOOT AND ANKLE CLINIC OF SPOKANE INC
Active
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 5, SPOKANE VALLEY, WA 99206-5094
(509) 928-8181
(509) 926-1247
Mailing address
9116 E SPRAGUE AVE, STE 278, SPOKANE VALLEY, WA 99206-3694
(509) 928-8181
(509) 926-1247
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PO00000715
WA
332BC3200X
Customized Equipment (DME)
PO00000715
WA
335E00000X
Prosthetic/Orthotic Supplier
PO00000715
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9055492
—
WA
Enumeration date
10/18/2006
Last updated
04/13/2018
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