Organization
GUSTAVEL ORTHOPEDICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY YOUNG (MANAGER)
(208) 957-7400
Entity
Organization
Contact information
Practice address
1702 W FAIRVIEW AVE, BOISE, ID 83702-5121
(208) 957-7400
Mailing address
1702 W FAIRVIEW AVE, BOISE, ID 83702-5121
(208) 957-7400
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Enumeration date
11/20/2018
Last updated
02/28/2019
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