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Contact Information

MICHAEL S WOMACK, MD
341 E BANNOCK ST
BOISE, ID83712-6208
 Phone: 208-453-9962
 Fax: 208-453-9963
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Cardiology

2080P0202X 37 Physician/Pediatric Medicine
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for MICHAEL S WOMACK · (Male)

NPI Number 1912950338
Status Active
Credentials MD
Entity Individual
Enumeration date 05/18/2006
Last updated 02/04/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • ID License # M-8136
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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