| Miramont Family Medicine | |
|
313 W Drake Rd Fort Collins CO 80526-2846 | |
| (970) 482-8881 | |
| (970) 482-9646 |
| Full Name | Miramont Family Medicine |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 313 W Drake Rd, Fort Collins, Colorado |
| Authorized Official Name and Position | Julie M Desaire (CHIEF BUSINESS DEVELOPMENT OFFICER) |
| Authorized Official Contact | 9702255107 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miramont Family Medicine 4674 Snow Mesa Dr Ste 140 Fort Collins CO 80528-8614 Ph: (970) 225-5107 | Miramont Family Medicine 313 W Drake Rd Fort Collins CO 80526-2846 Ph: (970) 482-8881 |
| NPI Number | 1619421351 |
|---|---|
| Provider Enumeration Date | 08/11/2016 |
| Last Update Date | 08/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619421351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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