| NPI | 1750114971 |
|---|---|
| Doing Business As | ADVENTHEALTH MEDICAL GROUP THORACIC SURGICAL ONCOLOGY AT PORTER |
| Entity Type | Organization |
| Authorized Contact | JASON TACHA COO 303-304-7752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology |
| Enumeration Date | 2024-08-22 |
| Last Update Date | 2024-08-22 |