Individual provider · Type 1 NPI
Simeon H. Wall Sr., MD
Specialist · Shreveport, LA
NPI number
1700939147
Active
Practice location
8600 Fern Ave
Shreveport, LA 71105-5639
Fax (318) 795-9492
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 02970R (LA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4 other providers at this address
- Simeon H. Wall, MD A Professional Medical CorpPlastic Surgery Physician Shreveport, LA NPI 1992059968
- Holly Casey Wall, MD, FACSPlastic and Reconstructive Surgery Physician Shreveport, LA NPI 1245229624
- Jeannie Shim McAllister, PA-CMedical Physician Assistant Shreveport, LA NPI 1831172931
- Simeon Wall Jr., MD, FACSPlastic and Reconstructive Surgery Physician Shreveport, LA NPI 1275522682
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- Emily A. Lafitte, LMT, NCBTMBSpecialist Shreveport, LA NPI 1003049552
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- Jennifer A. Perfetto, PTSpecialist Shreveport, LA NPI 1033352976
- Amy Rennee Lowrey, LMTSpecialist Shreveport, LA NPI 1043325608
- Amber Nicole WilliamsSpecialist Shreveport, LA NPI 1053862185
- Lisa DupreeSpecialist Shreveport, LA NPI 1063816304
- Shirley Ann Malmay, LMT, NCBTMBSpecialist Shreveport, LA NPI 1073696449
- Michael Edward Jones, P.T.Specialist Shreveport, LA NPI 1104034081
About NPI 1700939147
Simeon H. Wall Sr., MD's National Provider Identifier is 1700939147, issued on Jan 19, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Shreveport, LA. The record was last updated on Feb 22, 2012.