SIMEON WALL

SHREVEPORT, LA
NPI1275522682
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2086S0122X Surgery, Plastic and Reconstructive Surgery
(Licence: LA  14159R)
Enumeration Date2005-10-18
Last Update Date2014-04-10
Business Address
-- SIMEON WALL MD, FACS
8600 FERN AVE
SHREVEPORT, LA 71105-5639
Phone number: 318-795-0801
Mailing Address
-- SIMEON WALL MD, FACS
8600 FERN AVE
SHREVEPORT, LA 71105-5639
Phone number: 318-795-0801
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