Theodore Steven Roosevelt in Boise - Internal Medicine
Theodore Steven Roosevelt - NPI 1699754697
Theodore Steven Roosevelt is a Internal Medicine in Boise, Idaho. Theodore Steven Roosevelt practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Theodore Steven Roosevelt is 1699754697. The last update date is 2018-05-17.
Theodore Steven Roosevelt's current location address is 13909 W Wainwright Dr, Boise, Idaho. You can contact this provider via phone number 2083892213 and fax number 2083894659. The mailing address for Theodore Steven Roosevelt is 13909 W Wainwright Dr, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
Provider Name | Theodore Steven Roosevelt |
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Address | 13909 W Wainwright Dr, Boise, Idaho |
Phone Number | 2083892213 |
Fax Number | 2083894659 |
Sole Proprietor | Y |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1699754697 |
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Provider Enumeration Date | 2006-01-10 |
Last Updated Date | 2018-05-17 |
Provider Mailing Address Detail
Address | 13909 W Wainwright Dr |
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City | Boise |
State | Idaho (ID) |
Post Code | 837131969 |
Phone Number | 2083892213 |
Fax Number | 2083894659 |
Provider's Primary Taxonomy Detail
Speciality | Internal Medicine |
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Taxonomy | 207R00000X |
Licence No | M6142 |
Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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2712100 | ID | -- |
Post Comment/ Review Below
What is the Theodore Steven Roosevelt's 1699754697?
The Theodore Steven Roosevelt's NPI (National Provider Identifier) Number is 1699754697. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Theodore Steven Roosevelt is physically located?
The Theodore Steven Roosevelt is physically situated at the following address: 13909 W Wainwright Dr, Boise, ID, 837131969.
What is Theodore Steven Roosevelt's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Theodore Steven Roosevelt is Internal Medicine, and the corresponding taxonomy classification code for this specialized field is 207R00000X.
On what date did the Theodore Steven Roosevelt receive its 1699754697 assignment from the Centers for Medicare & Medicaid Services?
The Theodore Steven Roosevelt was assigned its 1699754697 by the Centers for Medicare & Medicaid Services on 2006-01-10.
When was the information related to Theodore Steven Roosevelt most recently updated or refreshed?
The details pertaining to the Theodore Steven Roosevelt, including its address, specialty, and other relevant information, were last updated or refreshed on 2018-05-17.