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 M BABOL DPM (DOCTOR-OWNER)
(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, STE 278, SPOKANE VALLEY, WA 99206
(509) 928-8181
(509) 926-1247
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
50-C0001051
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
490001898
RAILROAD MEDICARE
WA
05
—
7045289
—
WA
Enumeration date
08/22/2005
Last updated
04/20/2008
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