Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SIMEON WALL JR., MD, FACS
ActiveSIMEON WALL JR., MD, FACS is a Plastic and Reconstructive Surgery healthcare provider located in SHREVEPORT, Louisiana. NPI 1275522682 is currently active in the NPPES registry. Verify at CMS.
Plastic and Reconstructive Surgery · SHREVEPORT, LA
Registration Details
- NPI Number
- 1275522682
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 18, 2005 (20.779810016415 yrs)
- Last Updated
- Apr 10, 2014
- License
-
14159R (LA)
Practice Information
- Address
-
8600 FERN AVESHREVEPORT, LA, 711055639Browse LA providers · Browse ZIP 71105
- Phone
- 3187950801
- Fax
- 3187959492
- Primary Specialty
-
Plastic and Reconstructive Surgery
2086S0122X
Other Plastic and Reconstructive Surgery Providers in SHREVEPORT, LA
| Name | Credential | NPI |
|---|---|---|
| DR. DANIEL R KNIGHT | MD | 1861496556 |
| HOLLY CASEY WALL | MD, FACS | 1245229624 |
| STEPHEN JON RAMEY | M.D. | 1679555072 |
| FORREST P WALL | M.D. | 1699758474 |
| MARY T KIM | M.D. | 1033192828 |
| JOHN PETER VALIULIS | M.D. | 1346263985 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.