Dr. Simeon H. Wall SR., MD - Shreveport, LA

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.

Location: 8600 Fern Ave, Shreveport, LA, 71105-5639

NPI Number

1700939147

Provider Name

Simeon H. Wall SR.

Credential

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

Address

8600 Fern Ave

City

Shreveport

State

Louisiana

Zip

71105-5639

Phone Number

318-795-0801

Fax Number

318-795-9492

Address

8600 Fern Ave

City

Shreveport

State

Louisiana

Zip

71105-5639

Phone Number

318-795-0801

Fax Number

318-795-9492

Type

Other Service Providers

Classification

Specialist

Speciality

Taxonomy

174400000X

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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