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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RYAN R WALLACE, CFA

Active Sole Proprietor

RYAN R WALLACE, CFA is a Surgical Physician Assistant healthcare provider located in CHEYENNE, Wyoming. NPI 1285070326 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · CHEYENNE, WY

Registration Details

NPI Number
1285070326
Provider Type
Individual
Gender
Male
NPI Issued
May 16, 2013 (13.208294939298 yrs)
Last Updated
Sep 11, 2023
Sole Proprietor
Yes

Practice Information

Address
101 W 1ST AVE
CHEYENNE, WY, 820011330
Browse WY providers · Browse ZIP 82001
Phone
9703911886
Primary Specialty
Surgical Physician Assistant
363AS0400X
Additional Specialty
Surgical Physician Assistant

Other Surgical Physician Assistant Providers in CHEYENNE, WY

Name Credential NPI
MRS. WENDY J WATSON CFA 1093772576
MICHAEL D SCOTT PA-C 1114007028
MS. ASHLEY L. AYLWARD BADGLEY PA-C 1952738387
MOLLY A ANDERSON PA-C 1841728623
KATELYNN LOKEN PA-C 1447920269
MRS. SHAUNDA LYN WADDLE CSFA 1366101784
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.