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Alicia Marie Mooty
Foot & Ankle Surgery Podiatrist in Richmond, Virginia
NPI 1891282489

Alicia Marie Mooty is a Foot & Ankle Surgery Podiatrist based in Richmond, VA and is specialized in Foot & Ankle Surgery. Alicia Marie Mooty practices in Richmond, VA. The NPI Number for Alicia Marie Mooty is 1891282489 and holds a License No. SC006944 (Virginia).

The current practice location address for Alicia Marie Mooty is 1465 Johnston Willis Dr, Richmond, VA and can be reached out via phone at 804-320-3668.

Location: 1465 Johnston Willis Dr, Richmond, VA, 23235-2369
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891282489
Provider Name
Alicia Marie Mooty
Credential
Provider Entity Type
Individual
Gender
Female
Address
1465 Johnston Willis Dr, Richmond, VA, 23235-2369
Phone Number
804-320-3668
Fax Number
Provider Enumeration Date
04/18/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1465 Johnston Willis Dr
City
Richmond
State
Virginia
Zip
23235-2323
Phone Number
804-320-3668
Fax Number
person
Provider Business Mailing Address Details
Address
1465 Johnston Willis Dr
City
Richmond
State
Virginia
Zip
23235-2323
Phone Number
804-320-3668
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
SC006944 (Pennsylvania)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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