Michael R Dibenedetto Md Pllc is a Plastic and Reconstructive Surgery Physician based in Ponderay, ID and is specialized in Plastic and Reconstructive Surgery. Michael R Dibenedetto Md Pllc practices in Ponderay, ID. The NPI Number for Michael R Dibenedetto Md Pllc is 1073757464 and holds a License No. M10671 (Idaho).
The current practice location address for Michael R Dibenedetto Md Pllc is 30544 Highway 200, Ponderay, ID and can be reached out via phone at 208-263-5900 and via fax at 208-263-1319.
Identifier | Type | State | Issuer |
---|---|---|---|
DG3627 | 01 | ID | RAIL ROAD MEDICARE |
8N834 | 01 | ID | BLUE CROSS |
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