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Dale Fazio, D.P.M
NPI 1194723577 · on the registry since 2005
Practice
- Address
- 1914 E 70th St
Suite D
Shreveport, LA 71105 - Phone
- (318) 797-3470
- Fax
- (318) 797-9956
- Organisation at this address
- Dr. Dale Fazio Foot Clinic
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Podiatrist
213E00000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana