| NPI | 1104199660 |
|---|---|
| Doing Business As | MIRAMONT FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | TERESA E BENDER Administrator 970-482-0213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2015-05-28 |