Individual provider · Type 1 NPI

Alicia Marie Mooty

Foot & Ankle Surgery Podiatrist · Richmond, VA

NPI number 1891282489 Active

Practice location

1465 Johnston Willis Dr
Richmond, VA 23235-2323

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist 213ES0103XSC006944 (PA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Foot & Ankle Surgery Podiatrist Primary 213ES0103X0103301334 (VA)

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About NPI 1891282489

Alicia Marie Mooty's National Provider Identifier is 1891282489, issued on Apr 18, 2018. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Richmond, VA. The record was last updated on Mar 17, 2025.