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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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