Individual
GYL I CENDANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
1160 VAN VOORHIS RD, MORGANTOWN, WV 26505
(304) 598-1122
(304) 598-1124
Mailing address
1160 VAN VOORHIS RD, MORGANTOWN, WV 26505
(304) 598-1122
(304) 598-1124
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
WV323
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001714978
MT STATE BLUE CROSS BLUE
—
01
—
124508400
DEPT OF LABOR WORK COMP
—
01
—
1424801
UMWA
—
01
—
198177
FEDERAL BLACK LUNG
—
01
—
311545097
4MOST
—
01
—
P00207974
RAILROAD MEDICARE
—
01
—
Q22012
CARELINK
—
01
—
WV323
THE HEALTH PLAN
—
Enumeration date
03/15/2006
Last updated
10/22/2009
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