FORREST P WALL

SHREVEPORT, LA
NPI1699758474
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2086S0122X Surgery, Plastic and Reconstructive Surgery
(Licence: LA  10089R)
Enumeration Date2005-11-25
Last Update Date2021-07-12
Business Address
FORREST P WALL M.D.
385 BERT KOUNS INDUSTRIAL LOOP STE 100
SHREVEPORT, LA 71106-8159
Phone number: 318-221-1629
Mailing Address
FORREST P WALL M.D.
385 BERT KOUNS INDUSTRIAL LOOP BLDG 100
SHREVEPORT, LA 71106-8124
Phone number: 318-221-1629
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