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Individual

BENJAMIN WIEST BARLOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT

Contact information

Practice address
18511 HIGHLANDER MEDICS ST, FORT BLISS, TX 79906-5327
(915) 569-3425
Mailing address
12324 DESERT HEIGHTS CT, EL PASO, TX 79938-2418

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1164977
NE
363AS0400X
Surgical Physician Assistant
Primary
PA18160
TX

Other

Enumeration date
07/31/2019
Last updated
01/21/2026
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