Organization · NPI-2

Bender Medical Group

Family Medicine · Parker, CO

NPI number1770919409
StatusActive
Last updated in NPPESMay 2, 2018

Details

NPI
1770919409
Entity type
Organization (NPI-2)
Legal business name
Bender Medical Group
Organization subpart
No
Enumeration date
Sep 26, 2013
Last updated
May 2, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Other names

  • Miramont Family Medicine (Doing Business As)

Practice location

9521 Twenty Mile Rd
Parker, CO 80134

Phone 303-805-5528 · Fax 303-805-5529

Mailing address

4674 Snow Mesa Dr
Suite 140
Fort Collins, CO 80528-8615

Phone 970-482-0213 · Fax 970-482-9646

Authorized official

John L Bender
Ceo
9704820213

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