SIMEON H. WALL

SHREVEPORT, LA
NPI1700939147
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: LA  02970R)
Enumeration Date2007-01-19
Last Update Date2012-02-22
Business Address
Dr. SIMEON H. WALL M.D.
8600 FERN AVE
SHREVEPORT, LA 71105-5639
Phone number: 318-795-0801
Mailing Address
Dr. SIMEON H. WALL M.D.
8600 FERN AVE
SHREVEPORT, LA 71105-5639
Phone number: 318-795-0801
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