DR. DALE FAZIO FOOT CLINIC

SHREVEPORT, LA
NPI1265692859
Entity TypeOrganization
Authorized ContactDALE C FAZIO
Md/Owner
318-797-3470
Organization Subpart ?No
Primary Taxonomy213E00000X Podiatrist
(Licence: LA  PD009)
Enumeration Date2008-06-17
Last Update Date2008-06-17
Business Address
DR. DALE FAZIO FOOT CLINIC
1914 E 70TH ST SUITE D
SHREVEPORT, LA 71105-5312
Phone number: 318-797-3470
Mailing Address
DR. DALE FAZIO FOOT CLINIC
1914 E 70TH ST SUITE D
SHREVEPORT, LA 71105-5312
Phone number: 318-797-3470
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