NPI 1205159803

Makell Brugger, CST

Practitioner Surgical Technologist Eagle, ID

Practice location

Address: 323 E Riverside Dr Suite 234, Eagle, ID 83616-6864
Phone: (208) 938-4080
Fax: (208) 938-8922

Registered specialties

Surgical Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZS0410X Licence 96662 (ID)

Other Specialist/Technologist, Other providers in Idaho →

Registry record

NPI: 1205159803
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Mar 2010
Record last updated: 10 Mar 2010

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.