Individual
DR. TODD BRIAN WAMPLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2550 E BROADWAY ST, HELENA, MT 59601-4905
(406) 457-4180
Mailing address
P.O. BOX 6369, HELENA, MT 59604
(406) 447-2823
(406) 447-2825
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10316
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0141848
—
MT
01
—
93945
BCCBS OF MT
MT
Enumeration date
09/26/2006
Last updated
03/27/2018
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