Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Simeon H. Wall Sr., MD

Individual provider Specialist · NPI 1700939147

Dr. Simeon H. Wall Sr., MD is a Specialist in Shreveport, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.

Licensed in
LA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

8600 Fern Ave
Shreveport, LA 71105-5639
Phone: (318) 795-0801
Fax: (318) 795-9492
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 02970R (LA)

Record details

NPI number1700939147
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 19, 2007
Last updated in NPPESFebruary 22, 2012

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