WENDELL E. WALL

SHREVEPORT, LA
NPI1639174105
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: LA  MD.11458R)
Additional Taxonomies207R00000X Internal Medicine
(Licence: LA  11458R)
Enumeration Date2005-06-20
Last Update Date2018-10-22
Business Address
Mr. WENDELL E. WALL M.D.
1801 FAIRFIELD AVENUE, SUITE 200
SHREVEPORT, LA 71101
Phone number: 318-675-1800
Mailing Address
Mr. WENDELL E. WALL M.D.
1801 FAIRFIELD AVENUE, SUITE 200
SHREVEPORT, LA 71101
Phone number: 318-675-1800
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