Organization
BENDER MEDICAL GROUP
Active
Parent organization
BENDER MEDICAL GROUP
Other names
Miramont Family Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
BENDER MEDICAL GROUP
Authorized official
MRS. TERESA BENDER (PRACTICE ADMIN)
(970) 482-0213
Entity
Organization
Contact information
Practice address
313 W DRAKE RD, FORT COLLINS, CO 80526-2846
(970) 482-8881
(970) 482-3253
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
45095
CO
Other
Enumeration date
08/31/2010
Last updated
05/21/2015
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