Organization
ORIGEN ORTHOPEDICS & OPTIMAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN TAIT DO (PRESIDENT)
(520) 777-9385
Entity
Organization
Contact information
Practice address
7790 N ORACLE RD, SUITE 150, TUCSON, AZ 85704-6579
(520) 777-9385
(520) 306-4843
Mailing address
7790 N ORACLE RD, SUITE 150, TUCSON, AZ 85704-6579
(520) 777-9385
(520) 306-4843
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5503
AZ
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
5503
AZ
Other
Enumeration date
07/23/2013
Last updated
08/15/2023
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