MICHAEL RAYMOND DIBENEDETTO

PONDERAY, ID
NPI1679644397
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: ID  M8578)
Enumeration Date2006-11-13
Last Update Date2013-04-03
Business Address
-- MICHAEL RAYMOND DIBENEDETTO M.D.
30544 HIGHWAY 200 STE 102
PONDERAY, ID 83852-5005
Phone number: 208-265-9817
Mailing Address
-- MICHAEL RAYMOND DIBENEDETTO M.D.
30544 HIGHWAY 200 STE 102
PONDERAY, ID 83852-5005
Phone number: 208-265-9817
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