Individual
THOMAS ORIGITANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
200 COMMONS WAY STE B, KALISPELL, MT 59901-1915
(406) 752-5170
Mailing address
200 COMMONS WAY STE B, KALISPELL, MT 59901-1915
(406) 752-5170
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
12626
MT
207T00000X
Neurological Surgery Physician
36072034
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36072034
—
IL
Enumeration date
12/30/2005
Last updated
11/27/2023
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