Individual
DR. BENJAMIN BALLARD MASSENBURG V
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(800) 926-8273
Mailing address
3020 CHILDRENS WAY # MC5003, SAN DIEGO, CA 92123-4223
(858) 309-6300
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A193305
CA
2086S0122X
Plastic and Reconstructive Surgery Physician
A193305
CA
Other
Enumeration date
04/20/2017
Last updated
08/01/2024
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