Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Dale Carlton Fazio, DPM

Individual provider Podiatrist · NPI 1194723577

Dr. Dale Carlton Fazio, DPM is a Podiatrist in Shreveport, Louisiana. Licensed in Louisiana. Registered with an NPI since 2005.

Licensed in
LA
In the registry since
2005
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

1914 E 70th St Ste D
Shreveport, LA 71105-5312
Phone: (318) 797-3470
Fax: (318) 797-9956
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence PD009 (LA)

Record details

NPI number1194723577
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedJuly 11, 2005
Last updated in NPPESJuly 8, 2007

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