Provider Demographics
NPI:1518231927
Name:LUNA, BRANDEN WALTER (DO)
Entity Type:Individual
Prefix:DR
First Name:BRANDEN
Middle Name:WALTER
Last Name:LUNA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:3535 OLENTANGY RIVER RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-3908
Mailing Address - Country:US
Mailing Address - Phone:614-566-3322
Mailing Address - Fax:614-566-1073
Practice Address - Street 1:3535 OLENTANGY RIVER RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-3908
Practice Address - Country:US
Practice Address - Phone:614-566-3322
Practice Address - Fax:614-566-1073
Is Sole Proprietor?:No
Enumeration Date:2012-03-02
Last Update Date:2018-01-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH34.013066207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease