Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Other names
Neurosurgery One Castle Rock
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON TACHA (COO)
(303) 304-7752
Entity
Organization
Contact information
Practice address
4350 LIMELIGHT AVE STE 100, CASTLE ROCK, CO 80109-8034
(720) 638-7500
(720) 484-6918
Mailing address
PO BOX 713425, CHICAGO, IL 60677-4325
(800) 953-0104
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
06/09/2022
Last updated
05/09/2025
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