All Medicaid billing entities listing ROOSEVELT, THEODORE (PRESIDENT) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Idaho | 1 | $75K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | IDAHO DIABETES AND ENDOCRINE ASSOCIATES, PA | BOISE, ID | Specialist | $75K |