person
Dr. Simeon H. Wall SR., MD
Specialist in Shreveport, Louisiana
NPI 1700939147

Simeon H. Wall SR. is a Specialist based in Shreveport, LA. Simeon H. Wall SR. practices in Shreveport, LA and has the professional credentials of MD. The NPI Number for Simeon H. Wall SR. is 1700939147 and holds a License No. 02970R (Louisiana).

The current practice location address for Simeon H. Wall SR. is 8600 Fern Ave, Shreveport, LA and can be reached out via phone at 318-795-0801 and via fax at 318-795-9492. You can also correspond with Simeon H. Wall SR. through the mailing address at 8600 FERN AVE, SHREVEPORT, LA - 71105-5639 (mailing address contact number: 318-795-0801).

Location: 8600 Fern Ave, Shreveport, LA, 71105-5639
person
Provider Profile Details
NPI Number
1700939147
Provider Name
Simeon H. Wall SR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
8600 Fern Ave, Shreveport, LA, 71105-5639
Phone Number
318-795-0801
Fax Number
318-795-9492
Provider Enumeration Date
01/19/2007
Last Update Date
03/08/2024
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
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
02970R (Louisiana)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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