Dr. Dale Carlton Fazio is a Shreveport, Louisiana based male 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:
Podiatrist
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.