MICHAEL R DIBENEDETTO MD PLLC

Surgery - Plastic and Reconstructive Surgery

Active Organization
NPI: 1073757464

Practice Address

30544 HIGHWAY 200
SUITE 102
Ponderay, ID 83852

Phone: (208) 263-5900

Specialties

Specialty Code Primary License
Surgery - Plastic and Reconstructive Surgery 2086S0122X Yes M10671 (ID)

Frequently Asked Questions

NPI 1073757464 is the National Provider Identifier for MICHAEL R DIBENEDETTO MD PLLC, a Surgery - Plastic and Reconstructive Surgery provider located in Ponderay, ID. This NPI was enumerated on April 29, 2009.

Quick Facts

NPI
1073757464
Type
Organization
Enumerated
Apr 29, 2009
Last Updated
Oct 21, 2009

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