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

Boise Shoulder Clinic, PA

Organization Orthopaedic Surgery Physician · NPI 1760581409

Boise Shoulder Clinic, PA is an Orthopaedic Surgery Physician in Eagle, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3381 W Bavaria St
Eagle, ID 83616-5341
Phone: (208) 639-4800
Fax: (208) 639-4801
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence M9563 (ID)

Record details

NPI number1760581409
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carl Humphrey — Owner · (208) 639-4800
Other names Humphrey Shoulder Clinic
NPI enumeratedSeptember 21, 2006
Last updated in NPPESFebruary 13, 2012
Mailing address3381 W Bavaria Street, Eagle, ID 83616-5341

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