person
Mary C Dibenedetto, PA
Medical Physician Assistant in Kettering, Ohio
NPI 1538113295

Mary C Dibenedetto is a Medical Physician Assistant based in Dayton, OH and is specialized in Medical. Mary C Dibenedetto practices in Kettering, OH and has the professional credentials of PA. The NPI Number for Mary C Dibenedetto is 1538113295 and holds a License No. 003057 (Ohio).

The current practice location address for Mary C Dibenedetto is 3075 Governors Place Blvd Ste 120, Kettering, OH and can be reached out via phone at 937-424-2580 and via fax at 937-424-3581.

Location: 3075 Governors Place Blvd Ste 120, Kettering, OH, 45409-1332
person
Provider Profile Details
NPI Number
1538113295
Provider Name
Mary C Dibenedetto
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
3075 Governors Place Blvd Ste 120, Kettering, OH, 45409-1332
Phone Number
937-424-2580
Fax Number
937-424-3581
Provider Enumeration Date
05/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1538113295 01 NPI
institution
Provider Business Practice Location Address Details
Address
3075 Governors Place Blvd Ste 120
City
State
Zip
45409-1332
Phone Number
937-424-2580
Fax Number
937-424-3581
person
Provider Business Mailing Address Details
Address
3075 Governors Place Blvd Ste 120
City
State
Zip
45409-1332
Phone Number
937-424-2580
Fax Number
937-424-3581
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
003057 (Georgia)
Definition
Definition to come...
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