DR. DALE FAZIO, D.P.M.

Podiatrist

Active Individual
NPI: 1194723577

Practice Address

1914 E 70TH ST
SUITE D
Shreveport, LA 71105

Phone: (318) 797-3470

Specialties

Specialty Code Primary License
Podiatrist 213E00000X Yes PD009 (LA)

Frequently Asked Questions

NPI 1194723577 is the National Provider Identifier for DR. DALE FAZIO, D.P.M., a Podiatrist provider located in Shreveport, LA. This NPI was enumerated on July 11, 2005.
DR. DALE FAZIO, D.P.M. practices at 1914 E 70TH ST, SUITE D, Shreveport, LA 71105.

Quick Facts

NPI
1194723577
Type
Individual
Enumerated
Jul 11, 2005
Last Updated
Jul 8, 2007

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