Individual
DR. DAVID E MANSFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
808 N UNION AVE, SUITE B, ROSWELL, NM 88201-3921
(575) 623-5299
(575) 627-6415
Mailing address
7100 COMMERCE WAY, SUITE 180, BRENTWOOD, TN 37027-2829
(615) 465-7000
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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