# ADVANCED FOOT AND ANKLE ASSOCIATES OF NORTHWESTERN PENNSYLVANIA PC

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

## Provider details

- **NPI number:** 1326469834
- **Authorized official:** DR. LARA M ALLMAN DPM (PRESIDENT)
- **Authorized official phone:** (814) 371-0300

## Contact information

- **Practice address:** 207 BEAVER DR, DU BOIS, PA 15801-2517
- **Practice address phone:** (814) 371-0300
- **Practice address fax:** (814) 371-5000
- **Mailing address:** 207 BEAVER DR, DU BOIS, PA 15801-2517
- **Mailing address phone:** (814) 371-0300
- **Mailing address fax:** (814) 371-5000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | SC004334L | PA | Yes |

## Other

- **Enumeration date:** 12/31/2013
- **Last updated:** 02/04/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0017114190002 | — | PA |
| 01 | — | 008549 | MEDICARE PTAN | PA |