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Individual
DR. DAVID E MANSFIELD
Active
Individual
DR. DAVID E MANSFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
82-249
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11965
—
NM
01
—
NM011777
BLUE CROSS/BLUE SHIELD
NM
Enumeration date
12/19/2005
Last updated
03/04/2008
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