Simeon Wall, M.D

NPI 1700939147 · on the registry since 2007 · sole proprietor

Practice

Address: 8600 Fern Ave
Shreveport, LA 71105
Phone: (318) 795-0801
Fax: (318) 795-9492
Organisation at this address: Surgical Suites At The Wall Center, Llc
Simeon H. Wall, Md A Professional Medical Corp
Holly D. Casey, Md, A Professional Medical Corp
Holly D. Casey, Md. A Professional Medical Corp.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: Specialist
174400000X
Licence states on file: LA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-02-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana