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Organization

DIRECT ORTHOPEDIC CARE LLC

Active
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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
16818 N MARKETPLACE BLVD, NAMPA, ID 83687-5140
(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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