# IGNACIO H LUNA MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992012728
- **Authorized official:** IGNACIO HOELZL LUNA JR. M.D. (PRESIDENT)
- **Authorized official phone:** (304) 845-6400

## Contact information

- **Practice address:** 426 EIGHTH ST., SUITE 300, GLEN DALE, WV 26038
- **Practice address phone:** (304) 845-6400
- **Practice address fax:** (304) 845-3852
- **Mailing address:** 426 EIGHTH ST., SUITE 300, GLEN DALE, WV 26038
- **Mailing address phone:** (304) 845-6400
- **Mailing address fax:** (304) 845-3852

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 10356 | WV | Yes |
| 208800000X | Urology Physician | 35.100261 | OH | — |

## Other

- **Enumeration date:** 08/31/2010
- **Last updated:** 10/14/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0130878000 | — | WV |
| 05 | — | 0210917 | — | OH |