| NPI | 1285626622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE M BABOL Owner Doctor 509-928-8181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: WA PO00000715) |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2020-08-22 |