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Organization

PORTERCARE ADVENTIST HEALTH SYSTEM

Active
Other names
AdventHealth Medical Group Urology at Parker
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JASON TACHA (COO)
(303) 304-7752
Entity
Organization

Contact information

Practice address
9397 CROWN CREST BLVD STE 201, PARKER, CO 80138-8576
(303) 649-3710
(303) 649-3711
Mailing address
PO BOX 713425, CHICAGO, IL 60677-4325

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary

Other

Enumeration date
06/25/2024
Last updated
01/28/2026
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