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RYAN JOE WALLACE RT (R)
NPI 1770370488
Radiology - Body Imaging in Moscow, ID

Active since April 24, 2025
2500 W A ST STE 201, MOSCOW, ID 83843(208) 596-8408 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ryan Joe Wallace Rt (r) NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RYAN JOE WALLACE RT (R) (NPI 1770370488) is an individual body imaging provider in Moscow, Idaho, licensed in Idaho (386921) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1770370488
Entity TypeIndividualMale
Primary Taxonomy2085B0100X
Provider Legal NameRYAN JOE WALLACECredential: RT (R)
Location Address2500 W A ST STE 201Moscow, ID 83843-6000
Mailing Address2323 Charnita DrClarkston, WA 99403-1429 · (208) 596-8408
Phone(208) 596-8408
Sole ProprietorYes
Enumeration DateApril 24, 2025
NPPES CertifiedApril 24, 2025
✔ NPI 1770370488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Body ImagingAllopathic & Osteopathic Physicians
Taxonomy Code2085B0100X
License✔ Licensed in ID · 386921
Definition
A Radiology doctor of Osteopathy that specializes in Body Imaging.
2500 W A ST STE 201, Moscow, ID 83843
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOVANE L. SCHWECKE CST
Specialist/Technologist, Other (Surgical Assistant)
2500 W A ST STE 201
MOSCOW, ID 83843
Latah County (208) 883-2828
DR. AARON JAMES VANDENBOS M.D.
Orthopaedic Surgery
2500 W A ST STE 201
MOSCOW, ID 83843
Latah County (208) 883-2828
INLAND ORTHOPAEDIC SURGERY AND SPORTS MEDICINE CLINIC PLLC
Orthopaedic Surgery
2500 W A ST STE 201
MOSCOW, ID 83843
Latah County (208) 883-2828

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ryan Wallace's NPI number?

The NPI number for Ryan Wallace is 1770370488. It was assigned to this individual provider in the NPPES registry on April 24, 2025.

Where is Ryan Wallace located?

Ryan Wallace practices at 2500 W A St Ste 201, Moscow, ID 83843. The listed phone number is (208) 596-8408.

What is Ryan Wallace's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Body Imaging, with taxonomy code 2085B0100X.

When was this NPI record last updated?

The NPPES record for Ryan Wallace was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.