NPI 1417056201
Roger Theobald, AUD
Practice location
- Address
- 1032 S Silverstone Way STE 160, Meridian, ID 83642-1080
- Phone
- (208) 658-0238
- Mailing address
- 1084 N Cole Rd, Boise, ID 83704-8642
Registered specialties (3)
Audiologist
Primary
Audiologist-Hearing Aid Fitter
Hearing Instrument Specialist
Registry record
- NPI
- 1417056201
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 21 Sep 2006
- Record last updated
- 23 Mar 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.