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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