Organization
FOOT AND ANKLE CLINIC OF SPOKANE INC
Active
Other names
Surgery Center of Spokane
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 4, SPOKANE VALLEY, WA 99206-5094
(509) 928-8181
(509) 926-1247
Mailing address
9116 E SPRAGUE AVE # 278, SPOKANE VALLEY, WA 99206-3601
(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
01
—
0166415
L & I
WA
05
—
1116623
—
WA
01
—
480034678
RAILROAD
WA
01
—
61101
HUMANA
WA
01
—
693OBO
ASURIS
WA
Enumeration date
10/24/2006
Last updated
04/20/2008
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