Ryan Joe Wallace, RT (R)
NPI #1770370488 in Moscow, Idaho
Provider Information
- NPI Number
- 1770370488
- Entity Type
- Individual
- Name
- Ryan Joe Wallace, RT (R)
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Radiology - Body Imaging
- Credential
- RT (R)
- Enumeration Date
- Apr 24, 2025
- Last Updated
- Apr 24, 2025
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Body Imaging — Body Imaging |
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| Provider Name | |
|---|---|
| Frederick B Fitts JR., MD | |
| DR. Jeffrey Carl Bickel, M.D |
Organizations
| Provider Name | |
|---|---|
| Teton Radiology Diagnostic a Series of Teton Group Enterprise | |
| Teton Radiology Diagnostic, LLC Part of Teton Radiology Diagnositc, LLC | |
| Teton Radiology Madison LLC |
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