NPI | 1770919409 |
---|---|
Doing Business As | MIRAMONT FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | JOHN L BENDER CEO 970-482-0213 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2013-09-26 |
Last Update Date | 2018-05-02 |