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Mrs. BRANDI ADELE MACKEY -- IDMT

Individual Provider (NPI-1) Active

Military Health Care Provider, Independent Duty Medical Technicians

Provider Information

NPI Number
1306070446
Provider Type
Individual Provider (NPI-1)
Credentials
IDMT
Status
Active

Contact & Location

Address
84 BOMBER RD, MOUNTAIN HOME A F B, ID, 836485272
Phone
(208) 828-3604

Specialties & Taxonomies

Military Health Care Provider, Independent Duty Medical Technicians Primary

All Addresses

MAILING

1410 KURSTEN ST

MOUNTAIN HOME, ID, 836474646

(505) 264-9784

LOCATION

84 BOMBER RD

MOUNTAIN HOME A F B, ID, 836485272

(208) 828-3604