# ALLEN A. DZAMBO, JR., DPM

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235313537
- **Authorized official:** DR. ALLEN A DZAMBO D.P.M. (OWNER)
- **Authorized official phone:** (724) 539-3444

## Contact information

- **Practice address:** 1200 JEFFERSON ST, LATROBE, PA 15650-1915
- **Practice address phone:** (724) 539-3444
- **Practice address fax:** (724) 539-4133
- **Mailing address:** 1200 JEFFERSON ST, LATROBE, PA 15650-1915
- **Mailing address phone:** (724) 539-3444
- **Mailing address fax:** (724) 539-4133

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | SC004642L | PA | Yes |

## Other

- **Enumeration date:** 12/21/2007
- **Last updated:** 12/21/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0017663730004 | — | PA |