Individual
DR. LUIS ALEJANDRO ASENCIO MAGDALENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1717 HARPER RD, SECOND FLOOR, SUITE G, BECKLEY, WV 25801-3373
(304) 461-3922
Mailing address
1717 HARPER RD, SECOND FLOOR, SUITE G, BECKLEY, WV 25801-3373
(304) 461-3922
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
26928
WV
207RI0011X
Interventional Cardiology Physician
59498
AZ
390200000X
Student in an Organized Health Care Education/Training Program
R71727
AZ
Other
Enumeration date
07/15/2009
Last updated
02/03/2020
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