DoctorLicensePro

Dr. Simeon Wall, JR., MD, FACS

Plastic and Reconstructive Surgery

NPI: 1275522682 Louisiana
76/100
GoodTrusted

Trust Score based on license status, disciplinary record, board certification, experience, and data freshness.

Score Breakdown

License Status15/30

unknown

Disciplinary Record25/25

0 action(s)

Board Certification15/20

Not verified

Years in Practice15/15

21 years

Data Freshness6/10

Updated 4465 days ago

License Status

FloridaActive
License #

125875

Issued

Oct 14, 2015

Expires

Jan 31, 2028

Practice Information

Address
8600 FERN AVE
SHREVEPORT, LA 71105
Phone
(318) 795-0801
In Practice Since
October 18, 2005
Data Last Updated
April 10, 2014

NPI Details

NPI Number
1275522682
Status
Active
Taxonomy Code
2086S0122X
Data sourced from CMS NPPES public database. Last verified: April 10, 2014. Report an error