SearchIdahoPediatric Cardiology Physician

Gordon Mack, MD

NPI 1982937058 · on the registry since 2009

Practice

Address
100 E Idaho St
Suite 304
Boise, ID 83712
Phone
(208) 381-7384
Fax
(208) 381-7387
Organisation at this address
Woman'S Clinic
Ob-Gyn Center Pa
Pediatric Surgery Of Idaho
Jonathan Kramer, M.D., Pllc
Mountain States Oncology Group
Inferred from a shared address, not stated in the registry.
Clinicians at this address
211

Registry record

Primary taxonomy
Pediatric Cardiology Physician
2080P0202X
Also registered as
Pediatric Cardiology Physician
Licence states on file
UT, ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-02-05

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