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Organization
EARNEST FOOT AND ANKLE SPECIALISTS PLC
Active
Organization
EARNEST FOOT AND ANKLE SPECIALISTS PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL D. EARNEST JR. DPM (OWNER)
(804) 594-1944
Entity
Organization
Contact information
Practice address
1336 ALVERSER PLZ, MIDLOTHIAN, VA 23113-2604
(804) 594-1944
(804) 594-1945
Mailing address
1336 ALVERSER PLZ, MIDLOTHIAN, VA 23113-2604
(804) 594-1944
(804) 594-1945
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0103300896
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010049351
—
VA
05
—
010136296
—
VA
01
—
160546960
TRICARE
VA
01
—
2126938
MAMSI
VA
01
—
232349
SOUTHERN HEALTH
VA
01
—
3106155
CIGNA
VA
01
—
389911
ANTHEM - RUSS
VA
01
—
427297361
TRICARE
VA
01
—
7330335
CIGNA
VA
01
—
7797532
AETNA
VA
01
—
FIRST HEALTH
FIRST HEALTH
VA
Enumeration date
10/19/2006
Last updated
10/20/2014
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