Physician Assistant
RYLAN CHAN PAC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1306874623 · enumerated 2006-06-28 · record updated 2021-07-20. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 1623 S WELLS AVE, MERIDIAN, ID, 83642-5040 (208) 489-1450 Google Maps Apple Maps OpenStreetMap
- Mailing address PO BOX 191050, BOISE, ID, 83719-1050 (208) 955-6522 Fax (208) 955-6503 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · License 2557 AZ
- Physician Assistant 363A00000X · Primary · License PA-1342 ID
In this directory
Locations and evidence
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Practice location
MERIDIAN, ID, 836425040
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.