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Individual

DR. JOHN BRISTOW MANSFIELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
831 MARTIN LUTHER KING JR WAY, HARRISONBURG, VA 22801-3277
(540) 434-8101
(540) 574-2151
Mailing address
831 MARTIN LUTHER KING JR WAY, HARRISONBURG, VA 22801-3277
(540) 434-8101
(540) 574-2151

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101030926
VA
208600000X
Surgery Physician
21481
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
005385
ANTHEM, RICHMOND, VA
VA
05
007383088
VA
05
7383088
VA
Enumeration date
06/06/2006
Last updated
08/27/2015
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