NPI 1306070446

Brandi Adele Mackey, IDMT

Practitioner Independent Duty Medical Technicians Mountain Home a F B, ID

Practice location

Address: 84 Bomber Rd, Mountain Home a F B, ID 83648-5272
Phone: (208) 828-3604
Mailing address: 1410 Kursten St, Mountain Home, ID 83647-4646

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

Other Military Health Care Provider providers in Idaho →

Registry record

NPI: 1306070446
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 May 2009
Record last updated: 4 May 2009

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.