Simeon H. Wall, MD a Professional Medical Corp
Simeon H. Wall, MD a Professional Medical Corp provides Plastic Surgery Physician services in Shreveport, Louisiana. Licensed in Louisiana. Registered with an NPI since 2012.
- Licensed in
- LA
- In the registry since
- 2012
What do these letters mean?
- Corp — Corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
8600 Fern AveShreveport, LA 71105-5639 Not confirmed with CMS for 13 years — call before visiting
Phone: (318) 795-0801
Fax: (318) 795-9492
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Plastic Surgery Physician (primary) | Taxonomy 208200000X · Licence 02970R (LA) |
|---|
Record details
| NPI number | 1992059968 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Simeon Wall — Owner · (318) 795-0801 |
| NPI enumerated | October 30, 2012 |
| Last updated in NPPES | October 30, 2012 |
| Mailing address | 8600 Fern Ave, Shreveport, LA 71105-5639 |
Other providers in Shreveport
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Holly D. Casey, MD, a Professional Medical Corp
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-
Sergei Kalsow, MD
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Dr. Barron Johns O'Neal, MD
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Plastic Surgery of Shreveport, Inc
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