Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. RYAN MICHAEL WALLACE, HEALTH SERVICES TECH
ActiveMR. RYAN MICHAEL WALLACE, HEALTH SERVICES TECH is a Emergency Medical Technician, Basic healthcare provider located in BUZZARDS BAY, Massachusetts. NPI 1003891920 is currently active in the NPPES registry. Verify at CMS.
Emergency Medical Technician, Basic · BUZZARDS BAY, MA
Registration Details
- NPI Number
- 1003891920
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 14, 2005 (20.62322669723 yrs)
- Last Updated
- Jul 8, 2007
- License
-
B1552861 (CA)
Practice Information
- Address
-
5201 LEE RDBUZZARDS BAY, MA, 025421313Browse MA providers · Browse ZIP 02542
- Phone
- 5089686572
- Fax
- 5089686581
- Primary Specialty
-
Emergency Medical Technician, Basic
146N00000X
Other Emergency Medical Technician, Basic Providers in BUZZARDS BAY, MA
| Name | Credential | NPI |
|---|---|---|
| MR. STEPHEN COREY BOND | — | 1104802669 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.