Maria Luna Tan Navarro MD Inc

Organization Active NPI Clinic/Center · Elkview, WV

NPI 1013105535 · NPPES record last updated Apr 20, 2008

Key facts

NPI
1013105535
Entity type
Organization (NPI type 2)
Primary specialty
Clinic/Center 261Q00000X
Legal business name
MARIA LUNA TAN NAVARRO MD INC
Practice address
# 5 Elk Shopping Plaza
Elkview, WV 25071
Phone
(304) 965-5888
Fax
(304) 965-3882
NPI assigned
Oct 10, 2007
Organization subpart
No

Authorized official

Name
Ramon Navarro
Title
Office Manager
Phone
(304) 965-5888

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

5 Elk Shopping PLZ
Elkview, WV 25071
Phone (304) 965-5888

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Yes

Addresses

Primary practice location

# 5 Elk Shopping Plaza
Elkview, WV 25071

Mailing address

PO Box 193
Charleston, WV 25321-0193
Phone (304) 965-5888

Other identifiers

IdentifierTypeStateIssuer
001719991OtherBCBS
D91205OtherCARELINK
2356236OtherUMWA 50 FUNDS
4387523OtherAETNA

Other providers in Elkview, WV

All providers in Elkview, WV · Clinic/Center in West Virginia

Sources for this page

Verify at the official NPI Registry.