Individual
RYAN JEFFREY WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5401 PEACH ST STE 3300, ERIE, PA 16509-2601
(814) 868-7840
Mailing address
5401 PEACH ST STE 3300, ERIE, PA 16509-2601
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1226276
PA
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us