Ryan R Wallace, CFA
Ryan R Wallace, CFA is a Surgical Assistant in Cheyenne, Wyoming. Practices as a sole proprietor. Registered with an NPI since 2013.
- In the registry since
- 2013
- Specialties on file
- 2
Practice location Address checks out
101 W 1st AveCheyenne, WY 82001-1330
Phone: (970) 391-1886
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X |
|---|---|
| Surgical Assistant | Taxonomy 246ZC0007X |
Record details
| NPI number | 1285070326 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CFA |
| Sole proprietor | Yes |
| NPI enumerated | May 16, 2013 |
| Last updated in NPPES | September 11, 2023 |
| Certification date | September 11, 2023 |
| Mailing address | 101 W 1st Ave, Cheyenne, WY 82001-1330 |
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