Organization
ALLEN A DZAMBO JR DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLEN ANDREW DZAMBO JR. DPM (OWNER)
(724) 539-3444
Entity
Organization
Contact information
Practice address
1200 JEFFERSON ST, LATROBE, PA 15650-1915
(724) 539-3444
Mailing address
1200 JEFFERSON ST, LATROBE, PA 15650-1915
(724) 539-3444
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC004642L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17663730003
—
PA
Enumeration date
01/11/2008
Last updated
06/03/2013
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