Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gustavel Orthopedics PLLC

Organization Sports Medicine (Orthopaedic Surgery) Physician · NPI 1861961732

Gustavel Orthopedics PLLC provides Sports Medicine (Orthopaedic Surgery) Physician services in Boise, Idaho. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1702 W Fairview Ave
Boise, ID 83702-5121
Phone: (208) 957-7400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X

Record details

NPI number1861961732
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cindy Young — Manager · (208) 957-7400
NPI enumeratedNovember 20, 2018
Last updated in NPPESFebruary 28, 2019
Mailing address1702 W Fairview Ave, Boise, ID 83702-5121

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