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Contact Information

JOHN T MANSFIELD, MD
4951 S WHITE MOUNTAIN RD BLDG A
SHOW LOW, AZ85901-7827
 Phone: 360-425-3720
 Fax: 360-425-0090
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for JOHN T MANSFIELD · (Male)

NPI Number 1588688402
Status Active
Credentials MD
Entity Individual
Enumeration date 07/26/2006
Last updated 04/09/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • WA License # MDMD60129085
  • AZ Medicaid 086721
Hospital affiliation(s)
  • SUMMIT HEALTHCARE REGIONAL MEDICAL CENTER - (Acute Care)
    2200 SHOW LOW LAKE ROAD
    SHOW LOW, AZ 85901
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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