# BENDER MEDICAL GROUP

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

## Provider details

- **NPI number:** 1770919409
- **Authorized official:** JOHN L BENDER MD (CEO)
- **Authorized official phone:** (970) 482-0213

## Contact information

- **Practice address:** 9521 TWENTY MILE RD, PARKER, CO 80134
- **Practice address phone:** (303) 805-5528
- **Practice address fax:** (303) 805-5529
- **Mailing address:** 4674 SNOW MESA DR, SUITE 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 | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/26/2013
- **Last updated:** 05/02/2018