Provider Demographics
NPI:1780884957
Name:WINGFIELD, ROBERTA KAUFFMANN (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERTA
Middle Name:KAUFFMANN
Last Name:WINGFIELD
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 1:1018 GARDEN ST STE 108
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-7424
Mailing Address - Country:US
Mailing Address - Phone:805-963-5555
Mailing Address - Fax:
Practice Address - Street 1:1018 GARDEN ST STE 108
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-7424
Practice Address - Country:US
Practice Address - Phone:805-963-5555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-24
Last Update Date:2007-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG075041207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine