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Search › Idaho › 2085B0100X

Ryan Wallace, RT (R)

NPI 1770370488 · on the registry since 2025 · sole proprietor

Practice

Address
2500 W A St Ste 201
Moscow, ID 83843
Phone
(208) 596-8408
Organisation at this address
Bluesky Dental
Charles A Jacobson Md
Clearview Eye Clinic Ltd
Kaleigh Ginther, Dds, Pllc
Inland Orthopaedic Surgery And Sports Medicine Clinic Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
19

Registry record

Primary taxonomy
2085B0100X
2085B0100X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-04-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho