Portercare Adventist Health System

NPI #1891503322 in Lone Tree, Colorado

Provider Information

NPI Number: 1891503322
Entity Type: Organization
Organization Name: Portercare Adventist Health System
Primary Specialty: Surgery
Enumeration Date: Dec 30, 2024
Last Updated: Dec 30, 2024

Practice Location

Address: 9695 S YOSEMITE ST STE 385
City: Lone Tree
State: Colorado
ZIP Code: 80124-2890
Phone: (303) 715-7119

Authorized Official

Name: JASON TACHA
Title: COO
Phone: (303) 304-7752

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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