Individual
DR. RUSSELL DAVID EARNEST JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
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
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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