| Altoona to Staro Nagoricane | 4,860.68 mi (7,822.51 km) |
| Altoona to Stip | 4,894.95 mi (7,877.65 km) |
| Altoona to Struga | 4,856.16 mi (7,815.23 km) |
| Altoona to Strumica | 4,926.02 mi (7,927.67 km) |
| Altoona to Studenicani | 4,860.38 mi (7,822.03 km) |
| Altoona to Sveti Nikole | 4,879.34 mi (7,852.54 km) |
| Altoona to Tearce | 4,834.05 mi (7,779.65 km) |
| Altoona to Tetovo | 4,833.55 mi (7,778.84 km) |
| Altoona to Valandovo | 4,927.81 mi (7,930.54 km) |
| Altoona to Vasilevo | 4,924.34 mi (7,924.96 km) |
| Altoona to Veles | 4,878.81 mi (7,851.69 km) |
| Altoona to Vevcani | 4,849.99 mi (7,805.30 km) |
| Altoona to Vinica | 4,901.66 mi (7,888.46 km) |
| Altoona to Vrapciste | 4,837.35 mi (7,784.96 km) |
| Altoona to Zelenikovo | 4,863.91 mi (7,827.70 km) |
