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Organization
IGNACIO H LUNA MD INC
Active
Organization
IGNACIO H LUNA MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IGNACIO HOELZL LUNA JR. M.D. (PRESIDENT)
(304) 845-6400
Entity
Organization
Contact information
Practice address
426 EIGHTH ST., SUITE 300, GLEN DALE, WV 26038
(304) 845-6400
(304) 845-3852
Mailing address
426 EIGHTH ST., SUITE 300, GLEN DALE, WV 26038
(304) 845-6400
(304) 845-3852
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
10356
WV
208800000X
Urology Physician
35.100261
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0130878000
—
WV
05
—
0210917
—
OH
Enumeration date
08/31/2010
Last updated
10/14/2010
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