Organization · Type 2 NPI
Michael R Dibenedetto MD PLLC
Orthopaedic Surgery Physician · Ponderay, ID
Practice location
30544 Hwy 200, Ste 102
Ponderay, ID 83852
Fax (208) 263-7249
Mailing address
30544 Highway 200 Ste 102
Ponderay, ID 83852-5005
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery Physician Primary | 207X00000X | None listed |
| Cardiac Rehabilitation Clinic/Center | 261QR0404X | None listed |
Orthopaedic Surgery Physician: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformitie…
About NPI 1083809727
Michael R Dibenedetto MD PLLC's National Provider Identifier is 1083809727, issued on Sep 6, 2007. The primary taxonomy on file is Orthopaedic Surgery Physician (207X00000X), and the practice location is in Ponderay, ID. The record was last updated on Jun 30, 2026.