OrganizationActive
Gustavel Orthopedics PLLC
NPI 1861961732 · Sports Medicine (Orthopaedic Surgery) Physician · Boise, ID
Provider details
- NPI number
- 1861961732
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Cindy Young, Manager(208) 957-7400
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1702 W Fairview Ave
Boise, ID 83702-5121
Phone: (208) 957-7400
Approximate (ZIP-level) locationGet directions
Mailing address
1702 W Fairview Ave
Boise, ID 83702-5121
Registry dates
- Enumerated
- 2018-11-20
- Last updated
- 2019-02-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.