MARK L MANSFIELD

POCATELLO, ID
NPI1134113251
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: ID  M-6799)
Enumeration Date2005-09-02
Last Update Date2014-01-07
Business Address
-- MARK L MANSFIELD M.D.
110 VISTA DR
POCATELLO, ID 83201-5824
Phone number: 208-234-2300
Mailing Address
-- MARK L MANSFIELD M.D.
110 VISTA DR
POCATELLO, ID 83201-5824
Phone number: 208-234-2300
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