Organization
DIRECT ORTHOPEDIC CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY HAMILTON (BILLING OFFICE MANAGER)
(208) 321-4000
Entity
Organization
Contact information
Practice address
1789 S BROADWAY AVE, STE 100, BOISE, ID 83706-3800
(208) 321-4000
(208) 855-0157
Mailing address
7979 W RIFLEMAN ST, BOISE, ID 83704-9066
(208) 321-4000
(208) 855-0157
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
03/10/2017
Last updated
03/10/2017
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