Gustavel Orthopedics Pllc

Specialty details in registry · Boise, ID

Call (208) 957-7400 Directions

At a glance

1702 W Fairview Ave, Boise, ID 83702-5121

NPPES record updated Feb 28, 2019. Public records can lag behind changes at a practice.

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Practice location

1702 W Fairview Ave
Boise, ID 83702-5121
Professional details: NPI, taxonomy & registry record
NPI1861961732
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
207XX0005X
Enumeration date
Nov 20, 2018
Record updated
Feb 28, 2019
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

207XX0005X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1702 W Fairview Ave
Boise, ID 83702-5121
Phone
(208) 957-7400
Mailing address
1702 W FAIRVIEW AVE

BOISE, ID 837025121
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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