Individual
DR. WILLIAM T MANSFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
504 ELM ST NE, ALBUQUERQUE, NM 87102-2512
(505) 724-2000
Mailing address
71 CAMINO CABO, SANTA FE, NM 87508-2277
(505) 690-9545
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
EC-06-1072
ME
207RC0000X
Cardiovascular Disease Physician
Primary
MD2010-0485
NM
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD2010-0485
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
86181084
—
NM
Enumeration date
11/12/2006
Last updated
03/17/2018
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