Search › Idaho › 363A00000X
Rylan Chan, PAC
NPI 1306874623 · on the registry since 2006
Practice
- Address
- 1623 S Wells Ave
Meridian, ID 83642 - Phone
- (208) 489-1450
- Organisation at this address
- Alliance Medical Group, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- AZ, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-07-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho