Dr. Joshua Harmer, MD
Dr. Josh Harmer is a fellowship-trained orthopedic surgeon specializing in hip and knee replacement surgery joining the Idaho Clinic in 2025. Originally from South Jordan, Utah, he earned his bachelor’s degree in Physics and medical degree from the University of Utah.
He completed his orthopedic surgery residency at the world-renowned Mayo Clinic in Rochester, Minnesota, where he trained under global leaders in hip and knee replacement. He also pursued additional fellowship training in hip and knee replacement at Indiana University with Dr. Michael Meneghini, the president of the American Association of Hip and Knee Surgeons (AAHKS).
Dr. Harmer has extensive experience in primary, complex, and revision hip and knee replacements. He is skilled in the direct anterior approach for total hip replacements as well as robotic and computer-assisted surgery.
Beyond his surgical practice, Dr. Harmer is passionate about global outreach, having participated in medical missions to Peru and Haiti. He is fluent in Spanish after living in Panama. Outside of work, he enjoys running, cycling, hiking, and above all, spending time with his wife, Laura, and their six children.
Dr. Harmer follows the philosophy of Dr. William J. Mayo: “The best interest of the patient is the only interest to be considered.” He finds great fulfillment in seeing the life-changing impact that joint replacement surgery has on his patients.
The Rest of Our Team
Dr. Jared Armstrong is a board-certified orthopedic surgeon specializing in total hip and knee replacement. He also possesses advanced expertise in complex revision surgeries and limb salvage procedures for the hip and knee, addressing challenging cases with specialized techniques. Committed to restoring mobility and enhancing quality of life, Dr. Armstrong provides comprehensive care utilizing the latest advancements in joint reconstruction including the direct anterior approach to total hip replacement, robotic knee replacement, computer assisted surgery, and state-of-the-art implants to optimize precision and outcomes in his total hip and knee replacements. Expertise and Specialization : Dr. Armstrong is a recognized expert in the direct anterior approach to hip replacement having performed thousands of direct anterior total hips, offering patients a potentially less invasive surgical option. He has extensive experience in both primary and complex revision total hip and knee arthroplasty, and is one of the few surgeons in the region who performs highly specialized revision total hip replacement utilizing the anterior approach. He is dedicated to providing solutions for patients facing complex joint issues, including those requiring limb salvage. Professional Affiliations : Fellow, American Academy of Orthopaedic Surgeons (AAOS) Member, American Association of Hip and Knee Surgeons (AAHKS) Community Involvement and Personal Interests : Dr. Armstrong resides in Meridian, Idaho, with his wife, Jenny, and their four children. He is actively involved in the community and enjoys cycling (particularly the Bogus Basin climb), participating in triathlons, and spending quality time with his family. Dr. Armstrong is fluent in Spanish, having lived in Spain and Honduras, and has participated in humanitarian medical missions in Honduras (Project Latin America) and El Salvador (OpWalk Idaho). Patient-Centered Philosophy : Dr. Armstrong is dedicated to providing personalized, compassionate care. He understands the profound impact that successful joint replacement can have on patients' lives and strives to help individuals regain their mobility and independence. Education and Training : Bachelor of Science, Brigham Young University-Provo Doctor of Medicine, University of Louisville (MD degree) Orthopedic Surgery Residency, University of Louisville Fellowship Adult Reconstruction (Total Joint Replacement), The CORE Institute, Phoenix, Arizona
Dr. S. Bradley Daines is a fifth generation Idaho physician and was born in Boise. His grandfather and father both practiced orthopaedic surgery in Ada County for years, and he has two older brothers who are also orthopaedic surgeons. Dr. Daines has performed thousands of hip and knee replacements. He was fellowship trained at the Hospital for Special Surgery, long considered the #1 orthopaedic hospital in the United States and the birthplace of the modern total knee replacement. The Idaho Clinic emphasizes rapid recovery, and most surgeries are performed as outpatient procedures with same day discharges to home. In addition, Dr. Daines is one of the few surgeons who uses the Mako robot to perform all primary joint replacements including total hip replacement, total knee replacement and partial knee replacement. Dr. Daines is also skilled in complex cases including revision for trauma, infection, instability and implant failures. He is a Fellow of the American Association of Hip and Knee Surgeons and the American Academy of Orthopaedic Surgeons and is board certified by the American Board of Orthopaedic Surgery. Dr. Daines is a past President of the North Pacific Orthopaedic Society and has served as affiliate faculty at the University of Washington School of Medicine and Idaho State University. An alumnus of Borah High School, he graduated cum laude from the University of Utah with a degree in biology. Through the WWAMI program, he attended the University of Washington School of Medicine, graduating with Honors in 2009. He completed orthopaedic residency at the University of Vermont. Dr. Daines lives in Boise with his wife Maji, and their two children, Cutler and Audrey, as well as their dogs. He enjoys golfing, tennis, skiing, fishing, and enjoying all the wonders Idaho has to offer with his family. He is also an avid fan of all things Boise State. "Trust forms the foundation of a physician/patient relationship. My team will work hard to maintain your trust. We can't wait to help you get back to enjoying what you love!"
Jeff Smith, PA-C practices as a physician assistant at The Idaho Clinic and will primarily assist Dr Armstrong in the treatment and management of patients experiencing symptoms of both knee and hip arthritis as well as other complex issues. Jeff has worked alongside Dr Armstrong for the past five years in Adult Reconstruction. Jeff graduated from PA school at The University of Alabama-Birmingham Surgical Physician Assistant Program in 2000. Prior to PA school, Jeff served six-years active duty in the US Army as an orthopedic medic. Jeff moved here to Boise in 2002 from Florida. In his 20 years as a PA, Jeff has always practiced in the field of orthopedics. He has treated patients and assisted in surgery in nearly all aspects of orthopedics to include general care, fracture management and trauma, sports medicine, spine, hand and upper-extremity, as well as foot and ankle. Jeff also previously owned and managed a private surgical assist practice here in Boise. In his free time, Jeff can usually be found outside. He is most passionate about mountain biking and enjoys pedaling any of his SEVEN bicycles. He also enjoys paddle boarding, floating rivers, hiking, and trail running. In the winter, he enjoys both skate skiing and downhill skiing. Jeff has two teenage children. He’s active in the community and enjoys all social interaction. He has served on several medical mission trips, traveling twice to India with Chapel Missions-India (treating orphans as well as patients with HIV and leprosy) as well as to El Salvador with OpWalk-Idaho where he assisted with 50 joint replacement surgeries on local under-privileged individuals. Jeff is grateful for the opportunity to take care of all patients at The Idaho Clinic. He treats all patients like family and friends and is excited to help in your journey back to pain-free living.
Andrew P. Swenson, PA-C works as a physician assistant at The Idaho Clinic: Hip and Knee Replacement. Andrew’s responsibilities include seeing patients in the clinic, caring for admitted patients, emergency room consults, and first assisting in the operating room. Andrew received his Bachelor of Science degree in Health and Exercise Science with a minor in chemistry from Utah State University in Logan, Utah. He earned his Master of Physician Assistant Studies degree from Rocky Mountain College in Billings, Montana. Andrew is nationally certified by the NCCPA and holds an active PA license through the state of Idaho. After graduation, Andrew worked in Pediatric Orthopedics at Texas Children's Hospital before moving to Idaho. Andrew has gained specialty training in orthopedic trauma and sports medicine but found his passion for hip and knee arthroplasty by working with Dr. Daines helping patients get back to the things they enjoy most. Andrew and his wife, Brooke, have one son, Max, and three daughters, Amelia, Lucy, and Nora. They enjoy spending time together in the great Idaho outdoors hiking, exploring and camping. Andrew enjoys dirt biking, boating, golf, and traveling to new places. "My goal is to provide the highest quality, professional, and ethical care to all patients. I look forward to working with each patient in reaching their goals and restoring their activity through the joint replacement process."