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NPI Verification

National Provider Identifier: 1699754697

Theodore Steven Roosevelt, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

All Specialties (2)

Internal Medicine

Code: 207R00000X

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

Primary

Practice Address

13909 W WAINWRIGHT DR

BOISE, ID 837131969

Phone: 208-389-2213

NPI Enumeration Date

January 10, 2006

NPI Number

1699754697

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry