Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL RAYMOND DIBENEDETTO, M.D.
ActiveMICHAEL RAYMOND DIBENEDETTO, M.D. is a Orthopaedic Surgery healthcare provider located in PONDERAY, Idaho. NPI 1679644397 is currently active in the NPPES registry. Verify at CMS.
Orthopaedic Surgery · PONDERAY, ID
Registration Details
- NPI Number
- 1679644397
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 13, 2006 (19.759215065369 yrs)
- Last Updated
- Apr 3, 2013
- License
-
M8578 (ID)
Practice Information
- Address
-
30544 HIGHWAY 200STE 102PONDERAY, ID, 838525005Browse ID providers · Browse ZIP 83852
- Phone
- 2082659817
- Fax
- 2082654533
- Primary Specialty
-
Orthopaedic Surgery
207X00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.