Individual
JAMES MICHAEL TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1401 25TH ST S, GREAT FALLS, MT 59405-5183
(406) 455-5000
Mailing address
PO BOX 6010, GREAT FALLS, MT 59406-6010
(406) 455-5000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-03028
NC
363AM0700X
Medical Physician Assistant
003549
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01157773
AMERIGROUP
GA
05
—
100001257A
—
GA
05
—
100001257D
—
GA
Enumeration date
09/21/2005
Last updated
03/04/2025
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