John J Distazio, D.p.m., P.c.
NPI #1316123052 in Homestead, Pennsylvania
Provider Information
- NPI Number
- 1316123052
- Entity Type
- Organization
- Organization Name
- John J Distazio, D.p.m., P.c.
- Primary Specialty
- Podiatrist - Foot & Ankle Surgery
- Enumeration Date
- Jan 11, 2008
- Last Updated
- Apr 2, 2008
Practice Location
- Address
- 495 E WATERFRONT DRIVE
- Address 2
- SUITE 230
- City
- Homestead
- State
- Pennsylvania
- ZIP Code
- 15120-1151
- Phone
- (412) 461-1108
Authorized Official
- Name
- JOHN J DISTAZIO, D.P.M.
- Title
- OWNER
- Phone
- (412) 461-1108
Specialties & Taxonomy Codes
| Specialty |
|---|
| Podiatrist - Foot & Ankle Surgery — Foot & Ankle Surgery |
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