# MEDICAL ASSOCIATES OF GLEN DANIEL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801815733
- **Authorized official:** DR. JOSE JORGE GORDINHO MD (PRESIDENT)
- **Authorized official phone:** (304) 254-9022

## Contact information

- **Practice address:** 109 BOLT ROAD, GLEN DANIEL, WV 25844
- **Practice address phone:** (304) 934-5125
- **Mailing address:** 310 GEORGE ST, BECKLEY, WV 25801-2653
- **Mailing address phone:** (304) 254-9022
- **Mailing address fax:** (304) 254-9024

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | PENDING | WV | Yes |

## Other

- **Enumeration date:** 07/19/2006
- **Last updated:** 08/29/2007