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Michael Raymond Dibenedetto, MD
Orthopedic Surgery Physician in Ponderay, Idaho
NPI 1679644397

Michael Raymond Dibenedetto is a Orthopedic Surgery Physician based in Ponderay, ID. Michael Raymond Dibenedetto practices in Ponderay, ID and has the professional credentials of MD. The NPI Number for Michael Raymond Dibenedetto is 1679644397 and holds a License No. M8578 (Idaho).

The current practice location address for Michael Raymond Dibenedetto is 30544 Highway 200, Ponderay, ID and can be reached out via phone at 208-265-9817 and via fax at 208-265-4533.

Location: 30544 Highway 200, Ponderay, ID, 83852-5005
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679644397
Provider Name
Michael Raymond Dibenedetto
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
30544 Highway 200, Ponderay, ID, 83852-5005
Phone Number
208-265-9817
Fax Number
208-265-4533
Provider Enumeration Date
11/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
77010 01 ID BLUE CROSS
806452000 05 ID
P00042698 01 ID PALMETTOGBA RAILROAD MEDI
000010140056 01 ID REGENCE
institution
Provider Business Practice Location Address Details
Address
30544 Highway 200
City
Ponderay
State
Idaho
Zip
83852-5005
Phone Number
208-265-9817
Fax Number
208-265-4533
person
Provider Business Mailing Address Details
Address
30544 Highway 200
City
Ponderay
State
Idaho
Zip
83852-5005
Phone Number
208-265-9817
Fax Number
208-265-4533
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
-
Taxonomy
207X00000X
License No.
M8578 (Idaho)
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.
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