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 is a Sports Medicine (Orthopaedic Surgery) Physician 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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