Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GORDON K MACK, MD
ActiveDR. GORDON K MACK, MD is a Pediatric Cardiology healthcare provider located in BOISE, Idaho. NPI 1982937058 is currently active in the NPPES registry. Verify at CMS.
Pediatric Cardiology · BOISE, ID
Registration Details
- NPI Number
- 1982937058
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 8, 2009 (16.894822016856 yrs)
- Last Updated
- Feb 5, 2014
- Licenses
-
7320207-1205 (UT)M-12151 (ID)
Practice Information
- Address
-
100 E IDAHO STSUITE 304BOISE, ID, 837126267Browse ID providers · Browse ZIP 83712
- Phone
- 2083817384
- Fax
- 2083817387
- Primary Specialty
-
Pediatric Cardiology
2080P0202X
- Additional Specialty
- Pediatric Cardiology
Other Pediatric Cardiology Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| DR. FREDERICK K EMGE | MD | 1013984517 |
| DR. ELOISA S. WALKER | MD | 1760433601 |
| DR. MICHAEL SCOTT WOMACK | M.D. | 1912950338 |
| DIANA C ALEXANDER | MD | 1528004702 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.