Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Other names
AdventHealth Medical Group Gynecologic Oncology 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
2356 MEADOWS BLVD STE 240B, CASTLE ROCK, CO 80109-8410
(303) 715-2365
(303) 715-2375
Mailing address
PO BOX 713425, CHICAGO, IL 60677-4325
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
—
—
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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