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Michael R Dibenedetto Md Pllc

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NPI Number Detailed Information

Provider Information:

Name: Michael R Dibenedetto Md Pllc
Gender:
Provider License Number If Given:

NPI Information:

NPI: 1083809727
Entity Type
(Individual or Organization):
2-org
Enumeration Date: 9/6/2007

Last Update Date: 5/7/2021

Provider Business Mailing Address:

Address: 30544 HWY 200 STE 102
Ponderay, ID 83852
Phone Number: 2082659817
Fax Number: 2082637249

Provider Business Practice Location Address:

Address: 30544 HWY 200 STE 102
Ponderay, ID 83852
Phone Number: 2082659836
Fax Number: 2082637249

Provider Taxonomy:

Primary: 261QR0404X
Secondary (if any): 207X00000X
State: ID

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About Michael R Dibenedetto Md Pllc

Michael R Dibenedetto Md Pllc ( MICHAEL R DIBENEDETTO MD PLLC ) is Definition Clinic/Center Provider in Ponderay, ID. The NPI Number for Michael R Dibenedetto Md Pllc is 1083809727.
The current location address for Michael R Dibenedetto Md Pllc is 30544 HWY 200 STE 102 Ponderay, ID 83852 and the contact number is 2082659817 and fax number is 2082637249. The mailing address for Michael R Dibenedetto Md Pllc is 30544 HWY 200 STE 102 Ponderay, ID 83852- 2082659836 (mailing address contact number - 2082659817).
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FAQs:

What is the NPI Number for Michael R Dibenedetto Md Pllc ?


Answer: The NPI Number for Michael R Dibenedetto Md Pllc is 1083809727

Where is Michael R Dibenedetto Md Pllc located?


Answer: Michael R Dibenedetto Md Pllc is located at 30544 HWY 200 STE 102 Ponderay, ID 83852.

What is the specialty for Michael R Dibenedetto Md Pllc ?


Answer: The Specialty of Michael R Dibenedetto Md Pllc is Definition Clinic/Center Provider.

Are there any online reviews for Michael R Dibenedetto Md Pllc ?


Answer: Not yet!

Are there any other health care providers in Ponderay, ID?


Answer: Yes, there are given below...

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