Individual
DR. MICHAEL SCOTT WOMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
341 E BANNOCK ST, BOISE, ID 83712-6208
(208) 453-9962
(208) 453-9963
Mailing address
2225 E SOLITUDE CT, BOISE, ID 83712-7576
(208) 453-9962
(208) 453-9963
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
M-8136
ID
2080P0202X
Pediatric Cardiology Physician
Primary
M-8136
ID
Other
Enumeration date
05/18/2006
Last updated
02/04/2025
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