Forrest P Wall, M.D. is a plastic and reconstructive surgery surgery in Shreveport, LA with 32 years of experience. The provider is a surgeon who specializes in plastic and reconstructive surgery. Forrest P Wall, M.D. NPI is 1699758474. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduation Year:1992
The provider's business location address is:
385 BERT KOUNS INDUSTRIAL LOOP STE 100
SHREVEPORT, LA
ZIP 71106-159
Phone: (318) 221-1629
Fax: (318) 221-6308
The NPI 1699758474 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 11/25/2005 and was last updated on 7/12/2021.