Individual
DR. TODD MICHAEL JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2373 G RD STE 280, GRAND JCT, CO 81505-1006
(970) 644-4030
(970) 644-3914
Mailing address
PO BOX 1727, GRAND JCT, CO 81502-1727
(970) 644-4030
(970) 644-3914
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
7205
AZ
207RC0000X
Cardiovascular Disease Physician
Primary
DR.0065812
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279139
—
AZ
01
—
Z204014
MEDICARE
AZ
Enumeration date
07/07/2010
Last updated
04/01/2021
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