Dr. Gordon K Mack, MD
Dr. Gordon K Mack, MD is a Pediatric Medicine in Boise, Idaho. Qualified in 1994, 32 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group and accepts Medicare assignment. Licensed in Idaho and Utah.
- Years since qualifying
- 32
- Licensed in
- ID, UT
- In the registry since
- 2009
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
100 E Idaho St Ste 304Boise, ID 83712-6267
Phone: (208) 381-7384
Fax: (208) 381-7387
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Cardiology Physician (primary) | Taxonomy 2080P0202X · Licence M-12151 (ID) |
|---|---|
| Pediatric Cardiology Physician | Taxonomy 2080P0202X · Licence 7320207-1205 (UT) |
Record details
| NPI number | 1982937058 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | September 8, 2009 |
| Last updated in NPPES | February 5, 2014 |
Medicare enrollment
| Medicare specialty | PEDIATRIC MEDICINE |
|---|---|
| Medical school | OTHER |
| Graduated | 1994 (32 years in practice) |
| Group practice | St Lukes Clinic-Treasure Valley Llc — 1150 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Boise
-
Diana C Alexander, MD
190 E Bannock St, Boise, ID 83712-6241 · (208) 381-7000
-
Dr. Frederick K Emge, MD
100 E Idaho St Ste 200, Boise, ID 83712-6267 · (208) 381-7384
-
Mr. Gregory G Janos, MD
100 E Idaho St Ste 200, Boise, ID 83712-6267 · (208) 381-7384
-
Pediatric Cardiology of Idaho
900 N Liberty St Ste 206, Boise, ID 83704-8729 · (208) 453-9962
-
Dr. Eloisa S. Walker, MD
100 E Idaho St Ste 304, Boise, ID 83712-6223 · (208) 336-9188