Organization · Type 2 NPI
Michael R Dibenedetto MD PLLC
Plastic and Reconstructive Surgery Physician · Ponderay, ID
NPI number
1073757464
Active
Practice location
30544 Highway 200, Suite 102
Ponderay, ID 83852-5005
Fax (208) 263-1319
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | M10671 (ID) |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
11 other providers at this address
- Bruce Demko Crna IncCertified Registered Nurse Anesthetist Ponderay, ID NPI 1376713008
- Kauai In-Home Therapy LLCPhysical Therapy Clinic/Center Ponderay, ID NPI 1235649625
- Pend Oreille Surgery Center LLCAmbulatory Surgical Clinic/Center Ponderay, ID NPI 1821276353
- Stuart Gall Crna IncCertified Registered Nurse Anesthetist Ponderay, ID NPI 1932527389
- Angela Alice Chapin, MTMassage Therapist Ponderay, ID NPI 1679110845
- Bruce William Demko, CRNACertified Registered Nurse Anesthetist Ponderay, ID NPI 1780651539
- Jessica Hunt, LMTMassage Therapist Ponderay, ID NPI 1851894018
- Joan M. Bloom, MDFamily Medicine Physician Ponderay, ID NPI 1033229307
- Jonathan Donald Fisher, DPMFoot & Ankle Surgery Podiatrist Ponderay, ID NPI 1891969606
- Michael Raymond Dibenedetto, MDOrthopaedic Surgery Physician Ponderay, ID NPI 1679644397
- Tara Heisey, LMTMassage Therapist Ponderay, ID NPI 1245194059
About NPI 1073757464
Michael R Dibenedetto MD PLLC's National Provider Identifier is 1073757464, issued on Apr 29, 2009. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Ponderay, ID. The record was last updated on Oct 21, 2009.