Individual
DR. JUSTIN W MANSFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4403 HARRISON BLVD, STE 3875, OGDEN, UT 84403-3271
(801) 387-7950
(801) 387-7955
Mailing address
PO BOX 337, LAYTON, UT 84041-0337
(801) 773-4840
(801) 525-8151
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20468
NV
207R00000X
Internal Medicine Physician
Primary
47817351205
UT
207R00000X
Internal Medicine Physician
V5692
TX
Other
Enumeration date
07/07/2006
Last updated
07/07/2025
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