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Organization

SPOKANE FOOT CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DOUGLAS PARK ROMNEY DPM (PRESIDENT)
(509) 483-9363
Entity
Organization

Contact information

Practice address
123 W FRANCIS AVE, SPOKANE, WA 99205-6348
(509) 483-9363
(509) 483-0355
Mailing address
123 W FRANCIS AVE, SPOKANE, WA 99205-6348
(509) 483-9363
(509) 483-0355

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
L10009334
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
G319208200
MEDICARE GROUP NUMBER
WA
Enumeration date
04/28/2010
Last updated
04/28/2010
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