RYAN J. WALLACE RT (R) – NPI #1770370488
Radiology
A Radiology doctor of Osteopathy that specializes in Body Imaging.
RYAN WALLACE is a radiologist located in MOSCOW, ID. NPPES has assigned the NPI number 1770370488 to RYAN WALLACE on April 24, 2025. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2085B0100X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Body Imaging
Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RYAN WALLACE below.
NPI Profile for
RYAN J. WALLACE
(more than a year ago)
MOSCOW, ID 83843-6000 Phone: (208) 596-8408 Fax:
CLARKSTON, WA 99403-1429 Phone: (208) 596-8408 Fax:
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A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 2085B0100X - Radiology / Body Imaging (Primary) |
ID | 386921 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.