Individual provider · Type 1 NPI

Ryan Jeffrey Wallace, PA-C

Surgical Physician Assistant · Erie, PA

NPI number 1285528422 Active

About NPI 1285528422

Ryan Jeffrey Wallace, PA-C's National Provider Identifier is 1285528422, issued on Jun 4, 2025. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Erie, PA. The record was last updated on Jun 4, 2025.