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Individual
DR. RUSSELL DAVID EARNEST JR.
Active
Individual
DR. RUSSELL DAVID EARNEST JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0103300896
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010049351
—
VA
01
—
2126938
MAMSI
VA
01
—
2139749
FIRST HEALTH
VA
01
—
232349
SOUTHERN HEALTH
VA
01
—
3106155
CIGNA
VA
01
—
389911
ANTHEM
VA
01
—
605671100
OWCP
VA
01
—
7797532
AETNA
VA
01
—
861077371
PHCS
VA
Enumeration date
08/31/2006
Last updated
12/31/2015
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