RYAN JOE WALLACE

MOSCOW, ID
NPI1770370488
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2085B0100X Radiology, Body Imaging
(Licence: ID  386921)
Enumeration Date2025-04-24
Last Update Date2025-04-24
Business Address
RYAN JOE WALLACE RT (R)
2500 W A ST STE 201
MOSCOW, ID 83843-6000
Phone number: 208-596-8408
Mailing Address
RYAN JOE WALLACE RT (R)
2323 CHARNITA DR
CLARKSTON, WA 99403-1429
Phone number: 208-596-8408
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