Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN DESTEFANO, DPM
Active Sole ProprietorDR. JOHN DESTEFANO, DPM is a Podiatrist healthcare provider located in FORT POLK, Louisiana. NPI 1124289111 is currently active in the NPPES registry. Verify at CMS.
Podiatrist · FORT POLK, LA
Registration Details
- NPI Number
- 1124289111
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 23, 2008 (18.101669095608 yrs)
- Last Updated
- Nov 14, 2025
- License
-
PO 3715 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1585 3RD STFORT POLK, LA, 714595102Browse LA providers · Browse ZIP 71459
- Phone
- 3375313427
- Primary Specialty
-
Podiatrist
213E00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.