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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SIMEON H. WALL, MD A PROFESSIONAL MEDICAL CORP

Active Organization

SIMEON H. WALL, MD A PROFESSIONAL MEDICAL CORP is a Plastic Surgery organization located in SHREVEPORT, Louisiana. NPI 1992059968 is currently active in the NPPES registry. Verify at CMS.

Plastic Surgery · SHREVEPORT, LA

Registration Details

NPI Number
1992059968
Provider Type
Organization
NPI Issued
Oct 30, 2012 (13.806039316439 yrs)
Last Updated
Oct 30, 2012
License
02970R (LA)

Practice Information

Address
8600 FERN AVE
SHREVEPORT, LA, 711055639
Browse LA providers · Browse ZIP 71105
Phone
3187950801
Fax
3187959492
Primary Specialty
Plastic Surgery
208200000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.