Organization · Type 2 NPI

Direct Orthopedic Care LLC

Orthopaedic Surgery Physician · Boise, ID

NPI number 1104367028 Active

Practice location

1789 S Broadway Ave, Ste 100
Boise, ID 83706-3800

Fax (208) 855-0157

Mailing address

3015 E Magic View Dr Ste 130
Meridian, ID 83642-3750

Specialties and licenses

TaxonomyCodeLicense
Orthopaedic Surgery Physician Primary 207X00000XNone listed

Orthopaedic Surgery Physician: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformitie…

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About NPI 1104367028

Direct Orthopedic Care LLC's National Provider Identifier is 1104367028, issued on Mar 10, 2017. The primary taxonomy on file is Orthopaedic Surgery Physician (207X00000X), and the practice location is in Boise, ID. The record was last updated on Jul 21, 2026.