NPI 1194723577 DR. DALE CARLTON FAZIO D.P.M. SHREVEPORT LA. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Dr. Dale Carlton Fazio - NPI: 1194723577

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: DR. DALE CARLTON FAZIO
NPI Number: 1194723577
Entity Type Code: Individual (1)
Gender: M
Credentials: D.P.M.
License Number: PD009
Business Practice Address: 1914 E 70th St
Suite D Shreveport, LA - 711055312
Business Phone Number: 3187973470
Business Fax Number: 3187979956
Mailing Address: 1914 E 70th St, Suite D
SHREVEPORT
State: LA
Postal Code: 711055312
Phone Number: 3187973470
Fax Number: 3187979956
NPI Enumeration Date: 07/11/2005
NPI Last Update Date: 07/08/2007
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 213E00000X
License Number: PD009
Healthcare Provider Taxonomy:
(Secondary)
Y
State: LA
Taxonomy Type: Podiatric Medicine & Surgery Service Providers
Taxonomy Classification: Podiatrist
Taxonomy Specialization:
Taxonomy 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 and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.


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