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NPI Profile for THEODORE S ROOSEVELT in BOISE, ID.
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Endocrinology, Diabetes & Metabolism |
207RE0101X | 11 | Physician/Internal Medicine | |
Internal Medicine |
207R00000X | 11 | Physician/Internal Medicine |
| NPI Number | 1699754697 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 01/10/2006 | |
| Last updated | 05/17/2018 - About 8 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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| Hospital affiliation(s) |
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THEODORE S ROOSEVELT
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THEODORE S ROOSEVELT, MD