Mark L Mansfield is a Family Medicine Physician based in Pocatello, ID. Mark L Mansfield practices in Pocatello, ID and has the professional credentials of MD. The NPI Number for Mark L Mansfield is 1134113251 and holds a License No. M-6799 (Idaho).
The current practice location address for Mark L Mansfield is 110 Vista Dr, Pocatello, ID and can be reached out via phone at 208-234-2300 and via fax at 208-234-0026.
Identifier | Type | State | Issuer |
---|---|---|---|
000010000246 | 01 | ID | BLUE SHIELD PROVIDER NUMB |
080179524 | 01 | ID | RR MEDICARE PROVIDER NUMB |
DI726 | 01 | ID | BLUE CROSS PROVIDER NUMBE |
804222200 | 05 | ID |
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