NPI 1003891920

Ryan Michael Wallace, HEALTHSERVICESTECH

Practitioner Basic Emergency Medical Technician Buzzards Bay, MA

Practice location

Address: 5201 Lee Rd, Buzzards Bay, MA 02542-1313
Phone: (508) 968-6572
Fax: (508) 968-6581
Mailing address: 5425 Carpenter Ave APT a, Buzzards Bay, MA 02542-1587

Registered specialties

Basic Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146N00000X Licence B1552861 (CA)

Other Emergency Medical Technician, Basic providers in Massachusetts →

Registry record

NPI: 1003891920
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Dec 2005
Record last updated: 13 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.