Forrest P Wall in Shreveport - Plastic And Reconstructive Surgery
Forrest P Wall - NPI 1699758474
Forrest P Wall is a Plastic And Reconstructive Surgery in Shreveport, Louisiana. Forrest P Wall practices all healthcare services and medical treatments related to Plastic And Reconstructive Surgery. The NPI Number for Forrest P Wall is 1699758474. The last update date is 2021-07-12.
Forrest P Wall's current location address is 385 Bert Kouns Industrial Loop Bldg 100, Shreveport, Louisiana. You can contact this provider via phone number 3182211629. The mailing address for Forrest P Wall is 385 Bert Kouns Industrial Loop Bldg 100, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Forrest P Wall |
|---|---|
| Address | 385 Bert Kouns Industrial Loop Bldg 100, Shreveport, Louisiana |
| Phone Number | 3182211629 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1699758474 |
|---|---|
| Provider Enumeration Date | 2005-11-25 |
| Last Updated Date | 2021-07-12 |
Provider Mailing Address Detail
| Address | 385 Bert Kouns Industrial Loop Bldg 100 |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711068124 |
| Phone Number | 3182211629 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Plastic And Reconstructive Surgery |
|---|---|
| Taxonomy | 2086S0122X |
| Licence No | 10089R |
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Definition: A surgeon who specializes in plastic and reconstructive surgery. |
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What is the unique identifier code issued to Forrest P Wall by the Centers for Medicare & Medicaid Services?
The Forrest P Wall has been assigned the NPI (National Provider Identifier) 1699758474. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Forrest P Wall's physical address?
The Forrest P Wall is physically located at 385 Bert Kouns Industrial Loop Bldg 100, in the city of Shreveport, LA, with the postal code 711068124.
What is Forrest P Wall's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Forrest P Wall is Plastic And Reconstructive Surgery, and the taxonomy classification code that categorizes this area of expertise is 2086S0122X.
On what date did Forrest P Wall receive its 1699758474 assignment from the Centers for Medicare & Medicaid Services?
The Forrest P Wall was assigned its 1699758474 on 2005-11-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Forrest P Wall last refreshed?
The information related to the Forrest P Wall, including its address, specialty, and other relevant details, was last updated on 2021-07-12.
NPI Number: 1376546309
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