Individual provider · Type 1 NPI

Taejung Song, DO

Student in an Organized Health Care Education/Training Program · Tucson, AZ

NPI number 1629912423 Active

Practice location

839 W Congress St
Tucson, AZ 85745-2819

Call (520) 670-3909 Map

Fax (520) 309-2560

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1629912423

Taejung Song, DO's National Provider Identifier is 1629912423, issued on Apr 14, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tucson, AZ. The record was last updated on Jun 13, 2026.