Organization
DR. DALE FAZIO FOOT CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALE C FAZIO M.D (MD/OWNER)
(318) 797-3470
Entity
Organization
Contact information
Practice address
1914 E 70TH ST, SUITE D, SHREVEPORT, LA 71105-5312
(318) 797-3470
(318) 797-9956
Mailing address
1914 E 70TH ST, SUITE D, SHREVEPORT, LA 71105-5312
(318) 797-3470
(318) 797-9956
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PD009
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1318451
—
LA
Enumeration date
06/17/2008
Last updated
06/17/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us