Michael J Gustavel in Boise - Sports Medicine
Michael J Gustavel - NPI 1306842182
Michael J Gustavel is a Sports Medicine in Boise, Idaho. Michael J Gustavel practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Michael J Gustavel is 1306842182. The last update date is 2019-02-28.
Michael J Gustavel's current location address is 1702 W Fairview Ave, Boise, Idaho. You can contact this provider via phone number 2088501641. The mailing address for Michael J Gustavel is 1702 W Fairview Ave, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael J Gustavel |
|---|---|
| Address | 1702 W Fairview Ave, Boise, Idaho |
| Phone Number | 2088501641 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1306842182 |
|---|---|
| Provider Enumeration Date | 2005-06-24 |
| Last Updated Date | 2019-02-28 |
Provider Mailing Address Detail
| Address | 1702 W Fairview Ave |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 8370251210 |
| Phone Number | 2088501641 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | M8510 |
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Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1306842182 | ID | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Michael J Gustavel?
The Michael J Gustavel has been issued the NPI (National Provider Identifier) 1306842182 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Michael J Gustavel's facilities are situated?
The facilities of Michael J Gustavel are physically located at the following address: 1702 W Fairview Ave, Boise, ID, 8370251210.
What is Michael J Gustavel's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Michael J Gustavel is Sports Medicine, and the corresponding taxonomy classification code for this specialized field is 207Xx0005X.
On what date did the Michael J Gustavel receive the assignment of its 1306842182 from the Centers for Medicare & Medicaid Services?
The Michael J Gustavel was issued its 1306842182 by the Centers for Medicare & Medicaid Services on 2005-06-24.
As of what date was the information pertaining to Michael J Gustavel, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Michael J Gustavel, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-02-28.