| NPI | 1184431413 |
|---|---|
| Doing Business As | ADVENTHEALTH MEDICAL GROUP GYNECOLOGIC ONCOLOGY AT CHURCH RANCH |
| Entity Type | Organization |
| Authorized Contact | JASON TACHA COO 303-304-7752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology |
| Enumeration Date | 2024-12-11 |
| Last Update Date | 2024-12-11 |