Organization
FOOT AND ANKLE CLINIC OF SPOKANE INC
Active
Organization
FOOT AND ANKLE CLINIC OF SPOKANE INC
Active
Other names
Jacqueline M Babol
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
8944 N HESS ST # A, HAYDEN, ID 83835-9183
(208) 762-0909
Mailing address
9116 E SPRAGUE AVE # 278, SPOKANE VALLEY, WA 99206-3601
(509) 928-8181
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
P218
ID
332BC3200X
Customized Equipment (DME)
P218
ID
332BN1400X
Nursing Facility Supplies (DME)
P218
ID
335E00000X
Prosthetic/Orthotic Supplier
P218
ID
Other
Enumeration date
12/25/2015
Last updated
12/25/2015
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