Provider Demographics
NPI:1043893852
Name:BARBEE, BENJAMMIN ANDREW DAWNALD (MD)
Entity Type:Individual
Prefix:
First Name:BENJAMMIN
Middle Name:ANDREW DAWNALD
Last Name:BARBEE
Suffix:
Gender:M
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:OFFICE OF GME, FAMILY MEDICINE PROGRAM
Mailing Address - Street 2:28062 BAXTER ROAD
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-1401
Mailing Address - Country:US
Mailing Address - Phone:951-290-4168
Mailing Address - Fax:
Practice Address - Street 1:OFFICE OF GME, FAMILY MEDICINE PROGRAM
Practice Address - Street 2:28062 BAXTER ROAD
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563-1401
Practice Address - Country:US
Practice Address - Phone:951-290-4168
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-29
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program