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Organization

A TO Z FAMILY FOOTCARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AARON GLENN GOULD DPM (OWNER)
(757) 561-8671
Entity
Organization

Contact information

Practice address
12695 MCMANUS BLVD, SUITE 1D, NEWPORT NEWS, VA 23602
(757) 561-8671
(757) 873-1448
Mailing address
12695 MCMANUS BLVD, SUITE 1D, NEWPORT NEWS, VA 23602-4435
(757) 561-8671
(757) 968-5445

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0103300820
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0054716
CIGNA
VA
01
1098304
AETNA HMO
VA
01
184314
ANTHEM BLUE CROSS
VA
01
1850407
THE FIRST HEALTH NETWORK
VA
01
690803
UNITED HEALTH CARE
VA
01
7870748
AETNA PPO
VA
Enumeration date
05/16/2007
Last updated
11/25/2008
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