Portercare Adventist Health System
NPI #1235828294 in Castle Rock, Colorado
Provider Information
- NPI Number
- 1235828294
- Entity Type
- Organization
- Organization Name
- Portercare Adventist Health System
- Primary Specialty
- Family Medicine - Sports Medicine
- Enumeration Date
- May 4, 2023
- Last Updated
- Nov 11, 2024
Practice Location
- Address
- 4350 LIMELIGHT AVE STE 100
- City
- Castle Rock
- State
- Colorado
- ZIP Code
- 80109-8034
- Phone
- (720) 330-1390
Authorized Official
- Name
- MR. JASON TACHA
- Title
- COO
- Phone
- (303) 304-7752
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine - Sports Medicine — Sports Medicine |
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