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Holly Casey Wall, MD,FACS
Plastic and Reconstructive Surgery Physician in Shreveport, Louisiana
NPI 1245229624

Holly Casey Wall is a Plastic and Reconstructive Surgery Physician based in Shreveport, LA and is specialized in Plastic and Reconstructive Surgery. Holly Casey Wall practices in Shreveport, LA and has the professional credentials of MD,FACS. The NPI Number for Holly Casey Wall is 1245229624 and holds a License No. L14095R (Louisiana).

The current practice location address for Holly Casey Wall is 8600 Fern Ave, Shreveport, LA and can be reached out via phone at 318-795-0801 and via fax at 318-795-9492.

Location: 8600 Fern Ave, Shreveport, LA, 71105-5639
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Provider Profile Details
NPI Number
1245229624
Provider Name
Holly Casey Wall
Credential
MD,FACS
Provider Entity Type
Individual
Gender
Female
Address
8600 Fern Ave, Shreveport, LA, 71105-5639
Phone Number
318-795-0801
Fax Number
318-795-9492
Provider Enumeration Date
10/18/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1184306 05 LA
institution
Provider Business Practice Location Address Details
Address
8600 Fern Ave
City
State
Zip
71105-5639
Phone Number
318-795-0801
Fax Number
318-795-9492
person
Provider Business Mailing Address Details
Address
8600 Fern Ave
City
State
Zip
71105-5639
Phone Number
318-795-0801
Fax Number
318-795-9492
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
License No.
L14095R (Louisiana)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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