# BENDER MEDICAL GROUP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Miramont Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700193034
- **Authorized official:** JULIE M DESAIRE (PRACTICE ADMIN)
- **Authorized official phone:** (970) 225-5107

## Contact information

- **Practice address:** 4674 SNOW MESA DR STE 140, FORT COLLINS, CO 80528-8614
- **Practice address phone:** (970) 225-5000
- **Practice address fax:** (970) 482-9646
- **Mailing address:** 4674 SNOW MESA DR STE 140, FORT COLLINS, CO 80528-8614
- **Mailing address phone:** (970) 482-0213
- **Mailing address fax:** (970) 482-9646

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 32679 | CO | Yes |

## Other

- **Enumeration date:** 09/08/2010
- **Last updated:** 05/31/2019