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Organization
ALLEGHANY MEDICAL SERVICES PC
Active
Organization
ALLEGHANY MEDICAL SERVICES PC
Active
Other names
Rupert Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
J JORGE GORDINHO MD (SUPERVISOR PHYSICIAN OWNER)
(304) 254-9022
Entity
Organization
Contact information
Practice address
1109 GREENBIER ST, RUPERT, WV 25984
(304) 392-5381
(304) 392-5351
Mailing address
310 GEORGE ST, BECKLEY, WV 25801-2653
(304) 254-9022
(304) 254-9024
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/14/2006
Last updated
04/16/2008
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