Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Other names
PSPA PAIN SPEC PAH, Dimensions Pain Management at PAH, Centura Medical Group Pain Specialists Porter
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON TACHA (COO)
(303) 304-7752
Entity
Organization
Contact information
Practice address
2535 S DOWNING ST STE 180, DENVER, CO 80210-5863
(303) 715-7670
(303) 715-7671
Mailing address
PO BOX 801106, KANSAS CITY, MO 64180-1106
(800) 953-0104
(303) 765-6670
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
08/04/2020
Last updated
05/14/2024
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