Gordon K. Mack, MD
Pediatric Cardiology · Boise, ID
UnclaimedMDNPI 1982937058
- Primary taxonomy
- 2080P0202X
- Enumerated
- 2009-09-08
- Practice location
- Boise, ID
- Last NPPES update
- 2014-02-05
State licenses
- ID · Physician · NPPES self-reportedListed on NPI record
- UT · Physician · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.