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Organization
BENDER MEDICAL GROUP INC
Active
Organization
BENDER MEDICAL GROUP INC
Active
Other names
Miramont Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERESA E BENDER (PRACTICE ADMIN)
(970) 482-0213
Entity
Organization
Contact information
Practice address
4674 SNOW MESA DR, STE 140, FT COLLINS, CO 80528
(970) 482-0213
(970) 482-9646
Mailing address
4674 SNOW MESA DR, STE 140, FT COLLINS, CO 80528
(970) 482-0213
(970) 482-9646
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
21180
CO
207Q00000X
Family Medicine Physician
27536
CO
207Q00000X
Family Medicine Physician
31325
CO
207Q00000X
Family Medicine Physician
Primary
32679
CO
207Q00000X
Family Medicine Physician
40384
CO
207Q00000X
Family Medicine Physician
42203
CO
207Q00000X
Family Medicine Physician
45095
CO
207Q00000X
Family Medicine Physician
46447
CO
363A00000X
Physician Assistant
1082
CO
363A00000X
Physician Assistant
2589
CO
363A00000X
Physician Assistant
2790
CO
363A00000X
Physician Assistant
905
CO
363L00000X
Nurse Practitioner
NP10339
CO
Other
Enumeration date
10/13/2006
Last updated
03/05/2013
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