Dale Carlton Fazio in Shreveport - Podiatrist
Dale Carlton Fazio - NPI 1194723577
Dale Carlton Fazio is a Podiatrist in Shreveport, Louisiana. Dale Carlton Fazio practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Dale Carlton Fazio is 1194723577. The last update date is 2007-07-08.
Dale Carlton Fazio's current location address is 1914 E 70th St, Shreveport, Louisiana. You can contact this provider via phone number 3187973470 and fax number 3187979956. The mailing address for Dale Carlton Fazio is 1914 E 70th St, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dale Carlton Fazio |
|---|---|
| Address | 1914 E 70th St, Shreveport, Louisiana |
| Phone Number | 3187973470 |
| Fax Number | 3187979956 |
| Sole Proprietor | N |
| Credentials | D.P.M. |
NPI Number Detail
| NPI Number | 1194723577 |
|---|---|
| Provider Enumeration Date | 2005-07-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1914 E 70th St |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711055312 |
| Phone Number | 3187973470 |
| Fax Number | 3187979956 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | PD009 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1318451 | LA | -- |
Post Comment/ Review Below
What is the Dale Carlton Fazio's unique identification number?
The Dale Carlton Fazio has been assigned the NPI (National Provider Identifier) Number 1194723577 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Dale Carlton Fazio's facilities are geographically located?
The facilities of Dale Carlton Fazio are physically situated at the following location: 1914 E 70Th St, Shreveport, LA, 711055312.
What is Dale Carlton Fazio's area of expertise and its corresponding taxonomy classification?
The Dale Carlton Fazio's field of specialization is Podiatrist, and it falls under the taxonomy code 213E00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1194723577 to Dale Carlton Fazio?
The Centers for Medicare & Medicaid Services originally issued the 1194723577 to Dale Carlton Fazio on 2005-07-11.
When was the information pertaining to Dale Carlton Fazio most recently updated or revised?
The details related to Dale Carlton Fazio, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1841294345
Address: 11435 Wellshire Commons Cir Apt 1808, Charlotte, NC