Simeon Wall JR., MD, FACS

NPI #1275522682 in Shreveport, Louisiana

Provider Information

NPI Number
1275522682
Entity Type
Individual
Name
Simeon Wall JR., MD, FACS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Surgery - Plastic and Reconstructive Surgery
Credential
MD, FACS
Enumeration Date
Oct 18, 2005
Last Updated
Apr 10, 2014

Practice Location

Address
8600 FERN AVE
ZIP Code
71105-5639
Phone
(318) 795-0801

Specialties & Taxonomy Codes

Specialty
Surgery - Plastic and Reconstructive SurgeryPlastic and Reconstructive Surgery

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