Individual provider · Type 1 NPI

Gordon K. Mack, MD

Pediatric Cardiology Physician · Boise, ID

NPI number 1982937058 Active

Practice location

100 E Idaho St, Suite 304
Boise, ID 83712-6267

Call (208) 381-7384 Map

Fax (208) 381-7387

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Specialties and licenses

TaxonomyCodeLicense
Pediatric Cardiology Physician 2080P0202X7320207-1205 (UT)
Pediatric Cardiology Physician Primary 2080P0202XM-12151 (ID)

Pediatric Cardiology Physician: A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

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About NPI 1982937058

Gordon K. Mack, MD's National Provider Identifier is 1982937058, issued on Sep 8, 2009. The primary taxonomy on file is Pediatric Cardiology Physician (2080P0202X), and the practice location is in Boise, ID. The record was last updated on Feb 5, 2014.