CHARISSE MACK, PA
Physician Assistant
Active
Individual
NPI: 1801973615
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | PA-632 (ID) |
| Physician Assistant - Surgical | 363AS0400X | No | PA632 (ID) |
Frequently Asked Questions
NPI 1801973615 is the National Provider Identifier for CHARISSE MACK, PA, a Physician Assistant provider located in Boise, ID. This NPI was enumerated on November 1, 2006.
CHARISSE MACK, PA practices at 6140 CURTISIAN AVE, STE 400, Boise, ID 83704.
Quick Facts
- NPI
- 1801973615
- Type
- Individual
- Enumerated
- Nov 1, 2006
- Last Updated
- Mar 4, 2013
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