Individual
JOHN THOMAS MANSFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4951 S WHITE MOUNTAIN RD BLDG A, SHOW LOW, AZ 85901-7827
(360) 425-3720
(360) 425-0090
Mailing address
2200 E SHOW LOW LAKE RD, SHOW LOW, AZ 85901-7831
(928) 537-5600
(928) 532-8665
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MDMD60129085
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
086721
—
AZ
Enumeration date
07/26/2006
Last updated
04/09/2021
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