| NPI | 1891503322 |
|---|---|
| Doing Business As | ADVENTHEALTH MEDICAL GROUP BREAST SURGERY AT LONE TREE |
| Entity Type | Organization |
| Authorized Contact | JASON TACHA COO 303-304-7752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2024-12-30 |
| Last Update Date | 2024-12-30 |