| NPI | 1235828294 |
|---|---|
| Doing Business As | ADVENTHEALTH MEDICAL GROUP SPORTS MEDICINE AT CASTLE ROCK |
| Entity Type | Organization |
| Authorized Contact | JASON TACHA COO 303-304-7752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine Sports Medicine |
| Enumeration Date | 2023-05-04 |
| Last Update Date | 2024-11-11 |