Medical Associates of Glen Daniel

NPI #1548454986 in Glen Daniel, West Virginia

Provider Information

NPI Number
1548454986
Entity Type
Organization
Organization Name
Medical Associates of Glen Daniel
Primary Specialty
Clinic/Center
Enumeration Date
Aug 29, 2007
Last Updated
Aug 29, 2007

Practice Location

Address
109 BOLT RD
ZIP Code
25844-0216
Phone
(304) 934-5125

Authorized Official

Name
J. JORGE GORDINHO, MD
Title
OWNER/MD
Phone
(304) 934-5125

Specialties & Taxonomy Codes

Specialty
Nursing Care
Clinic/Center

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