| NPI | 1508699745 |
|---|---|
| Doing Business As | ADVENTHEALTH MEDICAL GROUP OBGYN AT DTC |
| Entity Type | Organization |
| Authorized Contact | JASON TACHA COO 303-304-7752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2024-08-22 |
| Last Update Date | 2024-08-22 |