Individual provider · Type 1 NPI

Mackenzie Marie Gomez, PA-C

Physician Assistant · Boise, ID

NPI number 1649059197 Active

Practice location

417 S 6th St
Boise, ID 83702-7632

Call (208) 577-4460 Map

Fax (208) 577-4469

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Other practice locations

  • 169 SW 5th Ct, Deerfield Beach, FL 33441-4620 · (904) 245-8910

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X1200715 (FL)
Physician Assistant Primary 363A00000X4871647 (ID)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1649059197

Mackenzie Marie Gomez, PA-C's National Provider Identifier is 1649059197, issued on Sep 25, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Boise, ID. The record was last updated on Mar 10, 2025.