Medical Associates of Glen Daniels, Pllc
NPI #1730216557 in Glen Daniel, West Virginia
Provider Information
- NPI Number
- 1730216557
- Entity Type
- Organization
- Organization Name
- Medical Associates of Glen Daniels, Pllc
- Primary Specialty
- Family Medicine
- Enumeration Date
- Feb 28, 2007
- Last Updated
- Jun 5, 2015
Practice Location
- Address
- 264 COAL RIVER RD
- City
- Glen Daniel
- State
- West Virginia
- ZIP Code
- 25844-9402
- Phone
- (304) 934-5125
Authorized Official
- Name
- J JORGE GORDINHO, MD
- Title
- OWNER
- Phone
- (304) 934-5125
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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