Organization
BENDER MEDICAL GROUP
Active
Other names
Miramont Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE M DESAIRE (DIRECTOR)
(970) 225-5107
Entity
Organization
Contact information
Practice address
525 HATHAWAY ST, FAIRPLAY, CO 80440-0760
(719) 836-1900
(719) 836-3283
Mailing address
525 HATHAWAY, FAIRPLAY, CO 80440-0760
(719) 836-1900
(719) 836-3283
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/24/2013
Last updated
07/24/2013
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