Dr. Dale Fazio Foot Clinic in Shreveport, LA - Podiatrist

Dr. Dale Fazio Foot Clinic is a Podiatrist based in Shreveport, Louisiana. Dr. Dale Fazio Foot Clinic is licensed to practice in Louisiana (license number PD009) and their current practice location is 1914 E 70th St, Suite D, Shreveport, Louisiana. It can be reached at their office (for appointments etc.) via phone at (318) 797-3470.

NPI number for Dr. Dale Fazio Foot Clinic is 1265692859 and their current mailing address is 1914 E 70th St, Suite D, Shreveport, Louisiana. Dr. Dale Fazio Foot Clinic does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1265692859.

Contact Information

	Dr. Dale Fazio Foot Clinic
	1914 E 70th St, Suite D, Shreveport, LA 71105-5312
	(318) 797-3470
	(318) 797-9956

Healthcare Provider's Profile

Full Name	Dr. Dale Fazio Foot Clinic
Type	Facility
Speciality	Podiatrist
Location	1914 E 70th St, Shreveport, Louisiana
Accepts Medicare Assignments	Does not participate in Medicare Program. The facility may not accept medicare assignment.

NPI Data:

NPI Number: 1265692859
Provider Enumeration Date: 06/17/2008
Last Update Date: 06/17/2008

Medical Identifiers

Medical identifiers for Dr. Dale Fazio Foot Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265692859	NPI	-	NPPES
1318451	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213E00000X	Podiatrist	PD009 (Louisiana)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr. Dale Fazio Foot Clinic is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr. Dale Fazio Foot Clinic 1914 E 70th St, Suite D, Shreveport, LA 71105-5312 Ph: (318) 797-3470	Dr. Dale Fazio Foot Clinic 1914 E 70th St, Suite D, Shreveport, LA 71105-5312 Ph: (318) 797-3470

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Podiatrist in Shreveport, LA

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
Dr. Dale Carlton Fazio, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1914 E 70th St, Suite D, Shreveport, LA 71105 Phone: 318-797-3470 Fax: 318-797-9956
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

Dr. Dale Fazio Foot Clinic - Podiatrist in Shreveport, LA