DALE CARLTON FAZIO

SHREVEPORT, LA
NPI1194723577
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy213E00000X Podiatrist
(Licence: LA  PD009)
Enumeration Date2005-07-11
Last Update Date2007-07-08
Business Address
Dr. DALE CARLTON FAZIO D.P.M.
1914 E 70TH ST SUITE D
SHREVEPORT, LA 71105-5312
Phone number: 318-797-3470
Mailing Address
Dr. DALE CARLTON FAZIO D.P.M.
1914 E 70TH ST SUITE D
SHREVEPORT, LA 71105-5312
Phone number: 318-797-3470
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