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Organization

PORTERCARE ADVENTIST HEALTH SYSTEM

Active
Other names
CHPG SPC Metro A, AdventHealth Medical Group Orthopedics 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
2360 MEADOWS BLVD, STE 200, CASTLE ROCK, CO 80109-8034
(720) 455-3775
(720) 455-3776
Mailing address
PO BOX 713425, CHICAGO, IL 60677-4325

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary

Other

Enumeration date
07/30/2020
Last updated
11/15/2024
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