Organization
LUNA U SY, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUNA U SY MD (OWNER)
(334) 445-9101
Entity
Organization
Contact information
Practice address
324 WHITE AVE, OZARK, AL 36360-0908
(334) 445-9101
(334) 445-3501
Mailing address
PO BOX 190, OZARK, AL 36361-0190
(334) 445-9101
(334) 445-3501
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529923920
—
AL
Enumeration date
08/18/2006
Last updated
01/15/2010
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