Individual provider · Type 1 NPI

John J. Distazio, DPM

Foot & Ankle Surgery Podiatrist · Homestead, PA

NPI number 1366414088 Active

Practice location

495 Waterfront Dr E, Suite 230
Homestead, PA 15120-1140

Fax (412) 461-5490

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103XSC002842L (PA)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1366414088

John J. Distazio, DPM's National Provider Identifier is 1366414088, issued on Feb 6, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Homestead, PA. The record was last updated on Apr 20, 2010.