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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHAEL R DIBENEDETTO MD PLLC

Active Organization

Orthopaedic Surgery · PONDERAY, ID

Registration Details

NPI Number
1083809727
Provider Type
Organization
NPI Issued
Sep 6, 2007 (18.627135077203 yrs)
Last Updated
May 7, 2021

Practice Information

Address
30544 HWY 200
STE 102
PONDERAY, ID, 83852
Browse ID providers · Browse ZIP 83852
Phone
2082659836
Fax
2082637249
Primary Specialty
Orthopaedic Surgery
207X00000X
Additional Specialty
Orthopaedic Surgery
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.