Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Other names
CHPG SPC METRO A, CCSI COLO COMP SPINE, Colorado Comprehensive Spine Institute
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON TACHA (COO)
(303) 304-7752
Entity
Organization
Contact information
Practice address
2535 S DOWNING ST STE 180F, DENVER, CO 80210-5847
(303) 762-0808
(303) 762-9292
Mailing address
900 HOPE WAY, ALTAMONTE SPRINGS, FL 32714-1502
(407) 357-1874
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
Other
Enumeration date
07/30/2020
Last updated
03/21/2024
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