NPI 1265692859

Dr. Dale Fazio Foot Clinic

Organisation Podiatrist Shreveport, LA

Practice location

Address: 1914 E 70th St Suite D, Shreveport, LA 71105-5312
Phone: (318) 797-3470
Fax: (318) 797-9956

Authorised official

Name: Dale C Fazio
Title: Md/Owner
Phone: (318) 797-3470

Registered specialties

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence PD009 (LA)

Other Podiatrist providers in Louisiana →

Registry record

NPI: 1265692859
Entity type: Organization
NPI issued: 17 Jun 2008
Record last updated: 17 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.