SURGICAL SUITES AT THE WALL CENTER, LLC

SHREVEPORT, LA
NPI1386893758
Entity TypeOrganization
Authorized ContactSIMEON H. WALL
Medical Director
318-795-0801
Organization Subpart ?No
Primary Taxonomy261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date2008-09-10
Last Update Date2009-04-21
Business Address
SURGICAL SUITES AT THE WALL CENTER, LLC
8600 FERN AVENUE STE. 200
SHREVEPORT, LA 71105
Phone number: 318-795-0801
Mailing Address
SURGICAL SUITES AT THE WALL CENTER, LLC
8600 FERN AVENUE
SHREVEPORT, LA 71105
Phone number: 318-795-0801
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