NPI | 1700193034 |
---|---|
Doing Business As | MIRAMONT FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | JULIE M DESAIRE Practice Admin 970-225-5107 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 32679) |
Enumeration Date | 2010-09-08 |
Last Update Date | 2019-05-31 |