IndividualActive
Michael Womack, M.D.
NPI 1912950338 · Pediatric Cardiology Physician · Boise, ID
Provider details
- NPI number
- 1912950338
- Entity type
- Individual
- Primary specialty
- Pediatric Cardiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- M-8136 (ID)
Practice location
341 E Bannock St
Boise, ID 83712-6208
Phone: (208) 453-9962
Fax: (208) 453-9963
Mailing address
2225 E Solitude Ct
Boise, ID 83712-7576
Registry dates
- Enumerated
- 2006-05-18
- Last updated
- 2025-02-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.