SIMEON H. WALL, MD A PROFESSIONAL MEDICAL CORP

SHREVEPORT, LA
NPI1992059968
Entity TypeOrganization
Authorized ContactSIMEON HENINGER WALL
Owner
318-795-0801
Organization Subpart ?No
Primary Taxonomy208200000X Plastic Surgery
(Licence: LA  02970R)
Enumeration Date2012-10-30
Last Update Date2012-10-30
Business Address
SIMEON H. WALL, MD A PROFESSIONAL MEDICAL CORP
8600 FERN AVE
SHREVEPORT, LA 71105-5639
Phone number: 318-795-0801
Mailing Address
SIMEON H. WALL, MD A PROFESSIONAL MEDICAL CORP
8600 FERN AVE
SHREVEPORT, LA 71105-5639
Phone number: 318-795-0801
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