| NPI | 1831934595 |
|---|---|
| Doing Business As | ADVENTHEALTH MEDICAL GROUP UROLOGY AT PORTER |
| Entity Type | Organization |
| Authorized Contact | JASON TACHA COO 303-304-7752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2024-06-26 |
| Last Update Date | 2024-06-26 |