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Organization

PORTERCARE ADVENTIST HEALTH SYSTEM

Active
Other names
AdventHealth Medical Group Surgical Oncology at Parker
Organization subpart
No

Provider details

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

Contact information

Practice address
9399 CROWN CREST BLVD STE 240, PARKER, CO 80138-8571
(720) 330-1310
(720) 452-2082
Mailing address
PO BOX 713425, CHICAGO, IL 60677-4325

Taxonomy

Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary

Other

Enumeration date
06/25/2024
Last updated
06/25/2024
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