Search › Idaho › 103T00000X
Raydell Booth, PH.D
NPI 1184661175 · on the registry since 2006 · sole proprietor
Practice
- Address
- 4060 E Chinden Blvd
Eagle, ID 83616 - Phone
- (208) 377-1131
- Fax
- (208) 377-1171
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-02-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho