Michael R Dibenedetto MD Pllc
NPI #1073757464 in Ponderay, Idaho
Provider Information
- NPI Number
- 1073757464
- Entity Type
- Organization
- Organization Name
- Michael R Dibenedetto MD Pllc
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MICHAEL R DIBENEDETTO MD PLLC
- Primary Specialty
- Surgery - Plastic and Reconstructive Surgery
- Enumeration Date
- Apr 29, 2009
- Last Updated
- Oct 21, 2009
Practice Location
Authorized Official
- Name
- WENDY S BROSNAHAN
- Title
- OFFICE MANAGER
- Phone
- (208) 263-5900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery - Plastic and Reconstructive Surgery — Plastic and Reconstructive Surgery |
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