Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THEODORE STEVEN ROOSEVELT, M.D.
Active Sole ProprietorTHEODORE STEVEN ROOSEVELT, M.D. is a Endocrinology, Diabetes & Metabolism healthcare provider located in BOISE, Idaho. NPI 1699754697 is currently active in the NPPES registry. Verify at CMS.
Endocrinology, Diabetes & Metabolism · BOISE, ID
Registration Details
- NPI Number
- 1699754697
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 10, 2006 (20.551477208709 yrs)
- Last Updated
- May 17, 2018
- Licenses
-
M6142 (ID)M6142 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
13909 W WAINWRIGHT DRBOISE, ID, 837131969Browse ID providers · Browse ZIP 83713
- Phone
- 2083892213
- Fax
- 2083894659
- Primary Specialty
-
Endocrinology, Diabetes & Metabolism
207RE0101X
- Additional Specialty
- Endocrinology, Diabetes & Metabolism
Other Endocrinology, Diabetes & Metabolism Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| RICHARD B CHRISTENSEN | MD | 1346272127 |
| JULIE A. FOOTE | MD | 1104836303 |
| BEVERLY MIELKE KOCARNIK | MD, MPH | 1962666438 |
| SHANAZ SIKDER | MD | 1083980734 |
| ROBERT MINNS | DO | 1902433105 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.