Makell Brugger, CST Valid NPI

Individual provider · Surgical Technologist · Eagle, ID

NPI

1205159803

Type

Individual (Type 1)

Primary specialty

Surgical Technologist (Specialist/Technologist, Other)

Specialty group

Technologists, Technicians & Other Technical Service Providers

Taxonomy code

246ZS0410X

License number

96662 (ID)

Sex

Female

Sole proprietor

No

Enumerated

2010-03-10

Last updated

2010-03-10