Graduated: 2015
NPI: 1740665009
Practice Locations (2)
DIRECT ORTHOPEDIC CARE LLC
7979 W RIFLEMAN ST, SUITE 110
BOISE, ID 837049066
2083214000
PIONEER SPORTS AND PAIN CENTER LLC
757 E WHYTHE CREEK CT, SUITE 102
KUNA, ID 836345006
2089224908
Source: CMS National Downloadable File, September 2026.