RYAN JEFFREY WALLACE

ERIE, PA
NPI1285528422
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: PA  1226276)
Enumeration Date2025-06-04
Last Update Date2025-06-04
Business Address
RYAN JEFFREY WALLACE PA-C
5401 PEACH ST STE 3300
ERIE, PA 16509-2601
Phone number: 814-868-7840
Mailing Address
RYAN JEFFREY WALLACE PA-C
5401 PEACH ST STE 3300
ERIE, PA 16509-2601
Phone number: