Dr. Dale Carlton Fazio is a Shreveport, Louisiana based podiatrist who is specialized in Podiatry. Active license number of Dr. Dale Carlton Fazio for Podiatry is PD009 in Louisiana.
Dr. Dale Carlton Fazio is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Dr. Dale Carlton Fazio speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Podiatry |
| Credentials: | D.P.M. |
| Gender: | Male |
| Practice Address: | 1914 E 70th St, Suite D, Shreveport, Louisiana, 71105-5312 |
| Phone: | 318-797-3470 |
| Fax: | 318-797-9956 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1194723577 |
| NPI Enumeration Date: | 11 Jul, 2005 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Dale Carlton Fazio are as mentioned below.
| License Number | Specialization | State | Status | |
| PD009 | Podiatry | Louisiana | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Dale Carlton Fazio such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1318451 | Medicaid | Louisiana | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1914 E 70th St, Suite D Shreveport, Louisiana |
| Zip: | 71105-5312 |
| Phone Number: | 318-797-3470 |
| Fax Number: | 318-797-9956 |
Patients can reach Dr. Dale Carlton Fazio at
1914 E 70th St, Suite D, Shreveport, Louisiana or can
call to book an appointment on 318-797-3470.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.