# BENDER MEDICAL GROUP, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BENDER MEDICAL GROUP, INC
- **Other names:** Miramont Family Medicine - Red Feather
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1669773263
- **Legal business name:** BENDER MEDICAL GROUP, INC
- **Authorized official:** MRS. TERESA E BENDER (PRACTICE ADMIN)
- **Authorized official phone:** (970) 482-0213

## Contact information

- **Practice address:** 168 MAIN ST, RED FEATHER LAKES, CO 80545
- **Practice address phone:** (970) 881-2885
- **Practice address fax:** (970) 881-3440
- **Mailing address:** 4674 SNOW MESA DR, STE 140, FORT COLLINS, CO 80528-8615
- **Mailing address phone:** (970) 482-0213
- **Mailing address fax:** (970) 482-9646

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 45095 | CO | Yes |

## Other

- **Enumeration date:** 11/12/2010
- **Last updated:** 11/12/2010