| NPI | 1679912919 |
|---|---|
| Doing Business As | MIRAMONT FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | JULIE M DESAIRE Cbdo 970-225-5107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 32679) |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2020-02-10 |