Organization
BENDER MEDICAL GROUP
Active
Other names
Miramont Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE M DESAIRE (PRACTICE ADMIN)
(970) 225-5107
Entity
Organization
Contact information
Practice address
4674 SNOW MESA DR STE 140, FORT COLLINS, CO 80528-8614
(970) 225-5000
(970) 482-9646
Mailing address
4674 SNOW MESA DR STE 140, FORT COLLINS, CO 80528-8614
(970) 482-0213
(970) 482-9646
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32679
CO
Other
Enumeration date
09/08/2010
Last updated
05/31/2019
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