Organization
INLAND NORTHWEST SURGERY CENTER PLLC
Active
Other names
Family Foot Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. THOMASIN K HAMMER DPM (CO-OWNER)
(509) 924-2600
Entity
Organization
Contact information
Practice address
526 N MULLAN RD, SUITE A & B, SPOKANE VALLEY, WA 99206-2407
(509) 924-2600
(509) 926-9865
Mailing address
526 N MULLAN RD, SUITE A & B, SPOKANE VALLEY, WA 99206-2407
(509) 924-2600
(509) 926-9865
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
P000000333
WA
213E00000X
Podiatrist
P000000388
WA
213E00000X
Podiatrist
P000000698
WA
261QA1903X
Ambulatory Surgical Clinic/Center
6011706837
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0143764
LABOR INDUSTRIES
WA
05
—
7127533
—
WA
01
—
DD3019
RAIL ROAD MEDICARE
WA
Enumeration date
07/08/2005
Last updated
03/07/2019
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