Michael R Dibenedetto Md Pllc in Ponderay - Orthopaedic Surgery

Michael R Dibenedetto Md Pllc - NPI 1083809727

Michael R Dibenedetto Md Pllc is a Orthopaedic Surgery in Ponderay, Idaho. Michael R Dibenedetto Md Pllc practices all healthcare services and medical treatments related to Orthopaedic Surgery. The NPI Number for Michael R Dibenedetto Md Pllc is 1083809727. The last update date is 2021-05-07.

Michael R Dibenedetto Md Pllc's current location address is 30544 Hwy 200, Ponderay, Idaho. You can contact this provider via phone number 2082659836 and fax number 2082637249. The mailing address for Michael R Dibenedetto Md Pllc is 30544 Hwy 200, Ponderay, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Organization Michael R Dibenedetto Md Pllc
Address 30544 Hwy 200, Ponderay, Idaho
Phone Number 2082659836
Fax Number 2082637249
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRACTICE M
Authorized Official Name Garman P Daniel
Telephone Number 2082659817

NPI Number Detail

NPI Number 1083809727
Provider Enumeration Date 2007-09-06
Last Updated Date 2021-05-07

Provider Mailing Address Detail

Address 30544 Hwy 200
City Ponderay
State Idaho (ID)
Post Code 83852
Phone Number 2082659836
Fax Number 2082637249

Provider's Primary Taxonomy Detail

Speciality Orthopaedic Surgery
Taxonomy 207X00000X
Definition:
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 car

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
DG3627 ID PALMETTO GBA RAILROAD MED
806452000 ID --
10140056 ID REGENCE BLUE SHIELD
8N259 ID BLUE CROSS

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FAQs about Michael R Dibenedetto Md Pllc

What is the unique 10-digit identification code issued to Michael R Dibenedetto Md Pllc by the Centers for Medicare & Medicaid Services?

The Michael R Dibenedetto Md Pllc has been assigned the NPI (National Provider Identifier) 1083809727 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Michael R Dibenedetto Md Pllc is physically located?

The Michael R Dibenedetto Md Pllc is physically situated at the following address: 30544 Hwy 200, Ponderay, ID, 83852.

What is Michael R Dibenedetto Md Pllc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Michael R Dibenedetto Md Pllc is Orthopaedic Surgery, and the taxonomy code that classifies this field of practice is 207X00000X.

On what date was the 1083809727 assigned to Michael R Dibenedetto Md Pllc?

The Michael R Dibenedetto Md Pllc was issued its 1083809727 on 2007-09-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Michael R Dibenedetto Md Pllc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Michael R Dibenedetto Md Pllc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-05-07.

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