Idaho Diabetes & Endocrine Associates, Pa

  • 1790960961 NPI Number
  • |
  • Actived: 16 years ago
  • |
Idaho Diabetes & Endocrine Associates, Pa is a health care provider based in Boise, ID. The NPI Number is 1790960961 and it has been active since 16 years ago. The specialty is Specialist, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Specialist services, Idaho Diabetes & Endocrine Associates, Pa is an excellent option. We are here to help you get the care you need.

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Overview of Idaho Diabetes & Endocrine Associates, Pa

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 01/07/2008
  • Last updated: 08/17/2020

Primary Scrop of Practice

  • Taxonomy Code: 174400000X
  • Specialty: Specialist
  • License Number: unknow
  • License State: unknow

Provider Mailing Address

  • Address: 13909 W. Wainwright Drive
    Boise, ID 83713
  • Phone: 208-389-2213
  • Fax: 208-389-4659

Provider Practice Location

  • Address: 13909 W. Wainwright Drive
    Boise, ID 83713
  • Phone: 208-389-2213
  • Fax: 208-389-4659

Authorized Official

  • Name: DR. Theodore S Roosevelt MD, PHD, JD
  • Position/Title: President
  • Telephone Number: 208-389-2213

Scope of Practice

  • Taxonomy Code: 174400000X
  • Specialty: Specialist
  • License Number: M6142
  • License State: ID
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 000010035381
  • Identifier Type: Other
  • Identifier State: ID
  • Issuer: REGENCE BLUE SHIELD OF ID

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Idaho Diabetes & Endocrine Associates, Pa?
  • A: The npi number for Idaho Diabetes & Endocrine Associates, Pa is 1790960961.
  • Q: What are Idaho Diabetes & Endocrine Associates, Pa's specialties?
  • A: Idaho Diabetes & Endocrine Associates, Pa's specialties are Specialist and different specialities.
  • Q: Where is Idaho Diabetes & Endocrine Associates, Pa business practice location?
  • A: Idaho Diabetes & Endocrine Associates, Pa business practice location is 13909 W. Wainwright Drive, Boise, ID 83713.
  • Q: How to contact Idaho Diabetes & Endocrine Associates, Pa?
  • A: You can contact Idaho Diabetes & Endocrine Associates, Pa via 208-389-2213.
  • Q: What is the authorized official for Idaho Diabetes & Endocrine Associates, Pa?
  • A: The authorized office name is DR. Theodore S Roosevelt MD, PHD, JD with position/title is President and you can reach the authorized official via phone number 2083892213.
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