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Organization
ADVANCED FOOT AND ANKLE ASSOCIATES OF NORTHWESTERN PENNSYLVANIA PC
Active
Organization
ADVANCED FOOT AND ANKLE ASSOCIATES OF NORTHWESTERN PENNSYLVANIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARA M ALLMAN DPM (PRESIDENT)
(814) 371-0300
Entity
Organization
Contact information
Practice address
207 BEAVER DR, DU BOIS, PA 15801-2517
(814) 371-0300
(814) 371-5000
Mailing address
207 BEAVER DR, DU BOIS, PA 15801-2517
(814) 371-0300
(814) 371-5000
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC004334L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017114190002
—
PA
01
—
008549
MEDICARE PTAN
PA
Enumeration date
12/31/2013
Last updated
02/04/2014
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