Michael R Dibenedetto MD Pllc

NPI #1083809727 in Ponderay, Idaho

Provider Information

NPI Number
1083809727
Entity Type
Organization
Organization Name
Michael R Dibenedetto MD Pllc
Primary Specialty
Orthopaedic Surgery
Enumeration Date
Sep 6, 2007
Last Updated
May 7, 2021

Practice Location

Address
30544 HWY 200
Address 2
STE 102
State
Idaho
ZIP Code
83852
Phone
(208) 265-9836

Authorized Official

Name
MR. DANIEL P GARMAN
Title
PRACTICE MANAGER
Phone
(208) 265-9817

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rehabilitation, Cardiac FacilitiesRehabilitation, Cardiac Facilities
Orthopaedic Surgery

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