OrganizationActive
Direct Orthopedic Care LLC
NPI 1104367028 · Orthopaedic Surgery Physician · Boise, ID
Provider details
- NPI number
- 1104367028
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Jenny Hamilton, Billing Office Manager
Practice location
1789 S Broadway Ave
Ste 100
Boise, ID 83706-3800
Phone: (208) 321-4000
Fax: (208) 855-0157
Mailing address
7979 W Rifleman St
Boise, ID 83704-9066
Registry dates
- Enumerated
- 2017-03-10
- Last updated
- 2017-03-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.