Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Other names
AdventHealth Medical Group Urology at Castle Rock
Organization subpart
No
Provider details
NPI number
Authorized official
JASON TACHA (COO)
(303) 304-7752
Entity
Organization
Contact information
Practice address
2352 MEADOWS BLVD STE 300, CASTLE ROCK, CO 80109-8419
(303) 649-3710
(303) 649-3711
Mailing address
PO BOX 713425, CHICAGO, IL 60677-4325
(800) 953-6670
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
10/15/2025
Last updated
10/15/2025
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