Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Other names
AdventHealth Medical Group Complex Gynecology and Surgery at Lone Tree
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON TACHA (COO)
(303) 304-7752
Entity
Organization
Contact information
Practice address
9695 S YOSEMITE ST STE 359, LONE TREE, CO 80124-2888
(303) 316-6677
(303) 316-5004
Mailing address
PO BOX 713425, CHICAGO, IL 60677-4325
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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