Forrest P Wall, MD - Shreveport, LA

Forrest P Wall, MD

Plastic and Reconstructive Surgery Physician in Shreveport, Louisiana

NPI 1699758474

Forrest P Wall is a Plastic and Reconstructive Surgery Physician based in Shreveport, LA and is specialized in Plastic and Reconstructive Surgery. Forrest P Wall practices in Shreveport, LA and has the professional credentials of MD. The NPI Number for Forrest P Wall is 1699758474 and holds a License No. 10089R (Louisiana).

The current practice location address for Forrest P Wall is 385 Bert Kouns Industrial Loop Ste 100, Shreveport, LA and can be reached out via phone at 318-221-1629 and via fax at 318-221-6308.

Location: 385 Bert Kouns Industrial Loop Ste 100, Shreveport, LA, 71106-8124

NPI Number

1699758474

Provider Name

Forrest P Wall

Credential

Provider Entity Type

Individual

Gender

Male

Address

385 Bert Kouns Industrial Loop Ste 100, Shreveport, LA, 71106-8124

Phone Number

318-221-1629

Fax Number

318-221-6308

Provider Enumeration Date

11/25/2005

Last Update Date

03/08/2024

Address

385 Bert Kouns Industrial Loop Ste 100

City

Shreveport

State

Louisiana

Zip

71106-8159

Phone Number

318-221-1629

Fax Number

318-221-6308

Address

385 Bert Kouns Industrial Loop Ste 100

City

Shreveport

State

Louisiana

Zip

71106-8159

Phone Number

318-221-1629

Fax Number

318-221-6308

Type

Allopathic & Osteopathic Physicians

Classification

Surgery

Speciality

Plastic and Reconstructive Surgery

Taxonomy

2086S0122X

License No.

10089R (Louisiana)

Definition

A surgeon who specializes in plastic and reconstructive surgery.

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