Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Other names
AdventHealth Medical Group Hip Preservation and Orthopedics at Landmar, HPOL HIP PRES ORTHO L
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON TACHA (COO)
(303) 304-7752
Entity
Organization
Contact information
Practice address
5351 S ROSLYN ST STE 200, GREENWOOD VILLAGE, CO 80111-2132
(303) 679-2070
(303) 679-2071
Mailing address
PO BOX 713425, CHICAGO, IL 60677-4325
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
07/27/2023
Last updated
06/04/2024
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