Individual provider · Type 1 NPI
Forrest P. Wall, MD
Plastic and Reconstructive Surgery Physician · Shreveport, LA
NPI number
1699758474
Active
Practice location
385 Bert Kouns Industrial Loop Ste 100
Shreveport, LA 71106-8159
Fax (318) 221-6308
Mailing address
385 Bert Kouns Industrial Loop Bldg 100
Shreveport, LA 71106-8124
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | 10089R (LA) |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
Other plastic and reconstructive surgery physician providers in Shreveport
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- Holly Casey Wall, MD, FACSPlastic and Reconstructive Surgery Physician Shreveport, LA NPI 1245229624
- Simeon Wall Jr., MD, FACSPlastic and Reconstructive Surgery Physician Shreveport, LA NPI 1275522682
- John Peter Valiulis, MDPlastic and Reconstructive Surgery Physician Shreveport, LA NPI 1346263985
- Stephen Jon Ramey, MDPlastic and Reconstructive Surgery Physician Shreveport, LA NPI 1679555072
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About NPI 1699758474
Forrest P. Wall, MD's National Provider Identifier is 1699758474, issued on Nov 25, 2005. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Shreveport, LA. The record was last updated on Jul 12, 2021.