Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Other names
AHMG Urogynecology 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
(303) 649-3575
(720) 993-4023
Mailing address
PO BOX 713425, CHICAGO, IL 60677-4325
(800) 953-0104
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
—
—
Other
Enumeration date
03/19/2024
Last updated
09/15/2025
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