Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK L MANSFIELD, M.D.
Active Sole ProprietorFamily Medicine · POCATELLO, ID
Registration Details
- NPI Number
- 1134113251
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 2, 2005 (20.633489578171 yrs)
- Last Updated
- Jan 7, 2014
- License
-
M-6799 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
110 VISTA DRPOCATELLO, ID, 832015824Browse ID providers · Browse ZIP 83201
- Phone
- 2082342300
- Fax
- 2082340026
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in POCATELLO, ID
| Name | Credential | NPI |
|---|---|---|
| JON DANIEL MALAN | DO | 1306842232 |
| DR. MARK HORROCKS | M.D. | 1700885258 |
| DR. LUIS FERNANDEZ | MD | 1841299302 |
| MRS. KELLI DEANNE CHRISTENSEN | MD | 1366443699 |
| JONATHAN CREE | MD | 1144213554 |
| NANCY ALSTON | MD | 1578556965 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.