Michael Raymond Dibenedetto, M.D.

NPI #1679644397 in Ponderay, Idaho

Provider Information

NPI Number: 1679644397
Entity Type: Individual
Name: Michael Raymond Dibenedetto, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Orthopaedic Surgery
Credential: M.D.
Enumeration Date: Nov 13, 2006
Last Updated: Apr 3, 2013

Practice Location

Address: 30544 HIGHWAY 200
Address 2: STE 102
City: Ponderay
State: Idaho
ZIP Code: 83852-5005
Phone: (208) 265-9817

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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Organizations

Provider Name	Specialty	City
Michael R Dibenedetto MD Pllc	Orthopaedic Surgery	Ponderay	AI Deep Dive

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