| Dr Dale Carlton Fazio, DPM | |
|
1914 E 70th St, Suite D, Shreveport, LA 71105-5312 | |
| (318) 797-3470 | |
| (318) 797-9956 |
| Full Name | Dr Dale Carlton Fazio |
|---|---|
| Gender | Male |
| Speciality | Podiatrist |
| Location | 1914 E 70th St, Shreveport, Louisiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194723577 | NPI | - | NPPES |
| 1318451 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | PD009 (Louisiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dale Carlton Fazio, DPM 1914 E 70th St, Suite D, Shreveport, LA 71105-5312 Ph: (318) 797-3470 | Dr Dale Carlton Fazio, DPM 1914 E 70th St, Suite D, Shreveport, LA 71105-5312 Ph: (318) 797-3470 |
Southside Foot Clinic Podiatrist Medicare: Medicare Enrolled Practice Location: 9308 Mansfield Rd, Ste 100, Shreveport, LA 71118 Phone: 318-687-6266 Fax: 318-683-1023 | |
Dr. Alaye Eldred Whyte, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1718 Kings Hwy, Shreveport, LA 71103 Phone: 318-636-2669 Fax: 318-636-2663 | |
Dr. Frederick Jacques Hall, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 678-640-5685 | |
Evetta Lavern Borden, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 912-977-0584 | |
Ark La Tex Foot & Ankle Specialists, Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 385 Bert Kouns, Bldg. 200, Shreveport, LA 71106 Phone: 318-687-8447 Fax: 318-687-9950 | |
Dr. Sheila D. Washington, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 318-221-8411 |