Organization · Type 2 NPI

Simeon H. Wall, MD A Professional Medical Corp

Plastic Surgery Physician · Shreveport, LA

NPI number 1992059968 Active

Practice location

8600 Fern Ave
Shreveport, LA 71105-5639

Fax (318) 795-9492

Specialties and licenses

TaxonomyCodeLicense
Plastic Surgery Physician Primary 208200000X02970R (LA)

Plastic Surgery Physician: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to b…

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About NPI 1992059968

Simeon H. Wall, MD A Professional Medical Corp's National Provider Identifier is 1992059968, issued on Oct 30, 2012. The primary taxonomy on file is Plastic Surgery Physician (208200000X), and the practice location is in Shreveport, LA. The record was last updated on Oct 30, 2012.