Organization
JOHN G. FASICK DPM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN G FASICK II DPM (MANAGER)
(504) 301-1749
Entity
Organization
Contact information
Practice address
3901 HOUMA BLVD, SUITE 108, METAIRIE, LA 70006-2930
(504) 301-1749
(504) 301-9451
Mailing address
3901 HOUMA BLVD, SUITE 108, METAIRIE, LA 70006-2930
(504) 301-1749
(504) 301-9451
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
DPM.PD284R
LA
Other
Enumeration date
03/23/2012
Last updated
03/23/2012
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