Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Other names
Neurosurgery One Interventional Pain Lone Tree
Organization subpart
No
Provider details
NPI number
Authorized official
JASON TACHA (COO)
(303) 304-7752
Entity
Organization
Contact information
Practice address
9980 PARK MEADOWS DR STE 101, LONE TREE, CO 80124-8404
(720) 638-7500
Mailing address
PO BOX 713425, CHICAGO, IL 60677-4325
(800) 953-0104
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
09/30/2025
Last updated
09/30/2025
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