Simeon Wall, MD, FACS is a plastic and reconstructive surgery surgery in Shreveport, LA. The provider is a surgeon who specializes in plastic and reconstructive surgery. Simeon Wall, MD, FACS NPI is 1275522682. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
8600 FERN AVE
SHREVEPORT, LA
ZIP 71105-639
Phone: (318) 795-0801
Fax: (318) 795-9492
The NPI 1275522682 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 10/18/2005 and was last updated on 4/10/2014.