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Michael R Dibenedetto Md Pllc
Cardiac Rehabilitation Clinic/Center in Ponderay, Idaho
NPI 1083809727

Michael R Dibenedetto Md Pllc is a Cardiac Rehabilitation Clinic/Center based in Ponderay, ID and is specialized in Rehabilitation, Cardiac Facilities. Michael R Dibenedetto Md Pllc practices in Ponderay, ID. The NPI Number for Michael R Dibenedetto Md Pllc is 1083809727 and holds a License No. (Idaho).

The current practice location address for Michael R Dibenedetto Md Pllc is 30544 Hwy 200, Ponderay, ID and can be reached out via phone at 208-265-9836 and via fax at 208-263-7249.

Location: 30544 Hwy 200, Ponderay, ID, 83852
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083809727
Provider Name
Michael R Dibenedetto Md Pllc
Credential
Provider Entity Type
Organization
Address
30544 Hwy 200, Ponderay, ID, 83852
Phone Number
208-265-9836
Fax Number
208-263-7249
Provider Enumeration Date
09/06/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DG3627 01 ID PALMETTO GBA RAILROAD MED
806452000 05 ID
000010140056 01 ID REGENCE BLUE SHIELD
8N259 01 ID BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
30544 Hwy 200
City
Ponderay
State
Idaho
Zip
83852
Phone Number
208-265-9836
Fax Number
208-263-7249
person
Provider Business Mailing Address Details
Address
30544 Hwy 200
City
Ponderay
State
Idaho
Zip
83852
Phone Number
208-265-9836
Fax Number
208-263-7249
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
-
Taxonomy
207X00000X
License No.
()
Definition
An orthopedic 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 orthopedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Cardiac Facilities
Taxonomy
261QR0404X
License No.
()
Definition
Definition to come...
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