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

Address
2500 W A ST STE 201
City
Moscow
State
Idaho
ZIP Code
83843-6000
Phone
(208) 596-8408

Specialties & Taxonomy Codes

Specialty
Radiology - Body ImagingBody Imaging

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