Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL R DIBENEDETTO MD PLLC
Active OrganizationMICHAEL R DIBENEDETTO MD PLLC is a Plastic and Reconstructive Surgery organization located in PONDERAY, Idaho. NPI 1073757464 is currently active in the NPPES registry. Verify at CMS.
Plastic and Reconstructive Surgery · PONDERAY, ID
Registration Details
- NPI Number
- 1073757464
- Provider Type
- Organization
- NPI Issued
- Apr 29, 2009 (17.304465059945 yrs)
- Last Updated
- Oct 21, 2009
- License
-
M10671 (ID)
Practice Information
- Address
-
30544 HIGHWAY 200SUITE 102PONDERAY, ID, 838525005Browse ID providers · Browse ZIP 83852
- Phone
- 2082635900
- Fax
- 2082631319
- Primary Specialty
-
Plastic and Reconstructive Surgery
2086S0122X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.