RYAN WALLACE, RT (R)

Body Imaging Physician · MOSCOW, ID

Individual Active NPI 1770370488

Taxonomy & licensure

Specialty	Code	Primary	License	State
Body Imaging Physician	2085B0100X	✓	386921	ID

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.