OrganizationActive
Direct Orthopedic Care LLC
NPI 1356769434 · Orthopaedic Surgery Physician · Boise, ID
Provider details
- NPI number
- 1356769434
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jenny Hamilton, Billing Office Manager(208) 321-4000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
7979 W Rifleman St
Boise, ID 83704-9066
Phone: (208) 321-4000
Fax: (208) 855-0157
Approximate (ZIP-level) locationGet directions
Mailing address
7979 W Rifleman St
Boise, ID 83704-9066
Registry dates
- Enumerated
- 2014-04-04
- Last updated
- 2017-07-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.