Provider Demographics
NPI:1124236781
Name:MANSFIELD, CHRISTINE (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:
Last Name:MANSFIELD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1775 EAST SKYLINE DR
Mailing Address - Street 2:SUITE 175
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:86718-9103
Mailing Address - Country:US
Mailing Address - Phone:520-222-8400
Mailing Address - Fax:520-219-2351
Practice Address - Street 1:1775 EAST SKYLINE DR
Practice Address - Street 2:SUITE 175
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:86718-9103
Practice Address - Country:US
Practice Address - Phone:520-222-8400
Practice Address - Fax:520-219-2351
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2014-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL26399207V00000X
TXM7399207V00000X
AZ49147207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology