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Organization

BENDER MEDICAL GROUP

Active
Other names
Miramont Family Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
TERESA E BENDER (CHIEF OPERATIONS OFFICER)
(970) 482-0213
Entity
Organization

Contact information

Practice address
4674 SNOW MESA DR, STE 140, FORT COLLINS, CO 80528-8615
(970) 482-0213
(970) 482-9646
Mailing address
4674 SNOW MESA DR, STE 140, FORT COLLINS, CO 80528-8615
(970) 482-0213
(970) 482-9646

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7739861-3501
UT

Other

Enumeration date
08/15/2014
Last updated
08/15/2014
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