Organization
ADVANCED FOOT AND ANKLE ASSOC NWPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARA M ALLMAN DPM (PRESIDENT)
(814) 772-3338
Entity
Organization
Contact information
Practice address
123 SOUTH ST, RIDGWAY, PA 15853-2008
(814) 772-3338
Mailing address
PO BOX 560, RIDGWAY, PA 15853-0560
(814) 772-3338
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017812350002
—
PA
01
—
1538616
UMWA
PA
01
—
342217
PABS
PA
01
—
CH1507
RRMC
PA
Enumeration date
06/25/2006
Last updated
08/22/2020
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