Ryan R Wallace, CFA

NPI #1285070326 in Cheyenne, Wyoming

Provider Information

NPI Number
1285070326
Entity Type
Individual
Name
Ryan R Wallace, CFA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant - Surgical
Credential
CFA
Enumeration Date
May 16, 2013
Last Updated
Sep 11, 2023

Practice Location

Address
101 W 1ST AVE
State
Wyoming
ZIP Code
82001-1330
Phone
(970) 391-1886

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist, Other - Surgical AssistantSurgical Assistant
Physician Assistant - SurgicalSurgical

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