Michael R Dibenedetto Md Pllc

  • 1073757464 NPI Number
  • |
  • Actived: 14 years ago
  • |
Michael R Dibenedetto Md Pllc is a health care provider based in Ponderay, ID. The NPI Number is 1073757464 and it has been active since 14 years ago. The specialty is Plastic and Reconstructive Surgery, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Plastic and Reconstructive Surgery services, Michael R Dibenedetto Md Pllc is an excellent option. We are here to help you get the care you need.

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Overview of Michael R Dibenedetto Md Pllc

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 04/29/2009
  • Last updated: 10/21/2009

Primary Scrop of Practice

  • Taxonomy Code: 2086S0122X
  • Specialty: Plastic and Reconstructive Surgery
  • License Number: M10671
  • License State: ID

Provider Mailing Address

  • Address: 30544 Highway 200
    Suite 102
    Ponderay, ID 83852
  • Phone: 208-263-5900
  • Fax: 208-263-1319

Provider Practice Location

  • Address: 30544 Highway 200
    Suite 102
    Ponderay, ID 83852
  • Phone: 208-263-5900
  • Fax: 208-263-1319

Authorized Official

  • Name: Wendy S Brosnahan
  • Position/Title: Office Manager
  • Telephone Number: 208-263-5900

Scope of Practice

  • Taxonomy Code: 2086S0122X
  • Specialty: Plastic and Reconstructive Surgery
  • License Number: M10671
  • License State: ID
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 8N834
  • Identifier Type: Other
  • Identifier State: ID
  • Issuer: BLUE CROSS

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Michael R Dibenedetto Md Pllc?
  • A: The npi number for Michael R Dibenedetto Md Pllc is 1073757464.
  • Q: What are Michael R Dibenedetto Md Pllc's specialties?
  • A: Michael R Dibenedetto Md Pllc's specialties are Plastic and Reconstructive Surgery and different specialities.
  • Q: Where is Michael R Dibenedetto Md Pllc business practice location?
  • A: Michael R Dibenedetto Md Pllc business practice location is 30544 Highway 200, Ponderay, ID 83852.
  • Q: How to contact Michael R Dibenedetto Md Pllc?
  • A: You can contact Michael R Dibenedetto Md Pllc via 208-263-5900.
  • Q: What is the authorized official for Michael R Dibenedetto Md Pllc?
  • A: The authorized office name is Wendy S Brosnahan with position/title is Office Manager and you can reach the authorized official via phone number 2082635900.
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