| NPI | 1124427182 |
|---|---|
| Doing Business As | MIRAMONT FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | TERESA E BENDER Chief Operations Officer 970-482-0213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 7739861-3501) |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2014-08-15 |