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Organization

PORTERCARE ADVENTIST HEALTH SYSTEM

Active
Other names
AdventHealth Medical Group OB Hospitalists 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
2350 MEADOWS BLVD, CASTLE ROCK, CO 80109-8405
(720) 455-0350
(720) 455-0351
Mailing address
PO BOX 713425, CHICAGO, IL 60677-4325

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Enumeration date
11/08/2024
Last updated
11/08/2024
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