Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Other names
AdventHealth Medical Group OBGYN at DTC
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) 738-2595
(720) 594-1547
Mailing address
PO BOX 713425, CHICAGO, IL 60677-4325
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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