Dr Dale Fazio Foot Clinic
Dr Dale Fazio Foot Clinic provides Podiatrist services in Shreveport, Louisiana. Licensed in Louisiana. Registered with an NPI since 2008.
- Licensed in
- LA
- In the registry since
- 2008
Practice location Address checks out
1914 E 70th St Ste DShreveport, LA 71105-5312 Not confirmed with CMS for 18 years — call before visiting
Phone: (318) 797-3470
Fax: (318) 797-9956
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Podiatrist (primary) | Taxonomy 213E00000X · Licence PD009 (LA) |
|---|
Record details
| NPI number | 1265692859 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Dale Fazio — Md/Owner · (318) 797-3470 |
| NPI enumerated | June 17, 2008 |
| Last updated in NPPES | June 17, 2008 |
| Mailing address | 1914 E 70th St, Suite D, Shreveport, LA 71105-5312 |
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