Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Other names
AdventHealth Medical Group Midwifery and OBGYN 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
2352 MEADOWS BLVD STE 300, CASTLE ROCK, CO 80109-8419
(720) 330-1460
(720) 703-9028
Mailing address
PO BOX 713425, CHICAGO, IL 60677-4325
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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