Search › Idaho › 363A00000X
Mackenzie Gomez, PA-C
NPI 1649059197 · on the registry since 2023
Practice
- Address
- 417 S 6th St
Boise, ID 83702 - Phone
- (208) 577-4460
- Fax
- (208) 577-4469
- Organisation at this address
- Community Health Clinics, Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 44
Additional practice sites
- 169 Sw 5th Ct, Deerfield Beach, FL
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- FL, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-03-10
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