| Miramont Family Medicine | |
|
4674 Snow Mesa Dr Ste 140 Fort Collins CO 80528-8615 | |
| (970) 482-0213 | |
| (970) 482-9646 |
| Full Name | Miramont Family Medicine |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4674 Snow Mesa Dr, Fort Collins, Colorado |
| Authorized Official Name and Position | Teresa E Bender (CHIEF OPERATIONS OFFICER) |
| Authorized Official Contact | 9704820213 |
| 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 80528-8615 Ph: (970) 482-0213 | Miramont Family Medicine 4674 Snow Mesa Dr Ste 140 Fort Collins CO 80528-8615 Ph: (970) 482-0213 |
| NPI Number | 1124427182 |
|---|---|
| Provider Enumeration Date | 08/15/2014 |
| Last Update Date | 08/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124427182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 7739861-3501 (Utah) | Primary |
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