Individual provider · Type 1 NPI

Michael Raymond Dibenedetto, MD

Orthopaedic Surgery Physician · Ponderay, ID

NPI number 1679644397 Active

Practice location

30544 Highway 200, Ste 102
Ponderay, ID 83852-5005

Call (208) 265-9817 Map

Fax (208) 265-4533

Specialties and licenses

TaxonomyCodeLicense
Orthopaedic Surgery Physician Primary 207X00000XM8578 (ID)

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…

11 other providers at this address

About NPI 1679644397

Michael Raymond Dibenedetto, MD's National Provider Identifier is 1679644397, issued on Nov 13, 2006. The primary taxonomy on file is Orthopaedic Surgery Physician (207X00000X), and the practice location is in Ponderay, ID. The record was last updated on Apr 3, 2013.