Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Other names
HealthFit Sports Medicine Castle Rock, AdventHealth Medical Group Sports Medicine at 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) 330-1390
(720) 995-5206
Mailing address
PO BOX 713425, CHICAGO, IL 60677-4325
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
05/04/2023
Last updated
11/11/2024
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