Search › Idaho › 103TC0700X
Gina Raza, PHD
NPI 1417392374 · on the registry since 2013
Practice
- Address
- 444 W Fort St Fl 2
Boise, ID 83702 - Phone
- (208) 422-1038
- Clinicians at this address
- 58
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 103TC0700X
- Licence states on file
- IL, VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-03-05
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