Ryan Joe Wallace, RT (R) is a body imaging radiology in Moscow, ID. The provider is a Radiology doctor of Osteopathy that specializes in Body Imaging. Ryan Joe Wallace, RT (R) NPI is 1770370488. The provider is registered as an individual entity type. The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
2500 W A ST STE 201 MOSCOW, ID ZIP 83843-000 Phone: (208) 596-8408
The enumeration date for this NPI number is 4/24/2025 and was last updated on 4/24/2025.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 11/21/2025
NPI Synchronization or Removal
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