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Organization
MEDICAL ASSOCIATES OF GLEN DANIEL
Active
Organization
MEDICAL ASSOCIATES OF GLEN DANIEL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE JORGE GORDINHO MD (PRESIDENT)
(304) 254-9022
Entity
Organization
Contact information
Practice address
109 BOLT ROAD, GLEN DANIEL, WV 25844
(304) 934-5125
Mailing address
310 GEORGE ST, BECKLEY, WV 25801-2653
(304) 254-9022
(304) 254-9024
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
PENDING
WV
Other
Enumeration date
07/19/2006
Last updated
08/29/2007
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