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Organization

FOOT & ANKLE CLINIC OF SPOKANE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JACQUELINE M BABOL DPM (OWNER DOCTOR)
(509) 928-8181
Entity
Organization

Contact information

Practice address
9405 E SPRAGUE AVE, SPOKANE VALLEY, WA 99206-3694
(509) 928-8181
(509) 926-1247
Mailing address
9405 E SPRAGUE AVE, POB 13070, SPOKANE VALLEY, WA 99206-3694
(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
05
1116623
WA
01
4797370001
DMERC PIN
WA
01
693OBO
REGENCE
WA
01
9055492
DSHS DMERC
WA
Enumeration date
08/22/2005
Last updated
08/22/2020
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