| NPI | 1134964893 |
|---|---|
| Doing Business As | ADVENTHEALTH MEDICAL GROUP VASCULAR SURGERY AT PORTER |
| Entity Type | Organization |
| Authorized Contact | JASON TACHA COO 303-304-7752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
| Enumeration Date | 2024-06-26 |
| Last Update Date | 2024-06-26 |