Organization
MARIA LUNA TAN NAVARRO MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMON NAVARRO (OFFICE MANAGER)
(304) 965-5888
Entity
Organization
Contact information
Practice address
# 5 ELK SHOPPING PLAZA, ELKVIEW, WV 25071
(304) 965-5888
(304) 965-3882
Mailing address
PO BOX 193, CHARLESTON, WV 25321-0193
(304) 965-5888
(304) 965-3882
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001719991
BCBS
—
01
—
2356236
UMWA 50 FUNDS
—
01
—
4387523
AETNA
—
01
—
D91205
CARELINK
—
Enumeration date
10/10/2007
Last updated
04/20/2008
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