| Medical Associates Of Glen Daniel | |
|
109 Bolt Road Glen Daniel WV 25844 | |
| (304) 934-5125 | |
| Not Available |
| Full Name | Medical Associates Of Glen Daniel |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 109 Bolt Road, Glen Daniel, West Virginia |
| Authorized Official Name and Position | Jose Jorge Gordinho (PRESIDENT) |
| Authorized Official Contact | 3042549022 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Associates Of Glen Daniel 310 George St Beckley WV 25801-2653 Ph: (304) 254-9022 | Medical Associates Of Glen Daniel 109 Bolt Road Glen Daniel WV 25844 Ph: (304) 934-5125 |
| NPI Number | 1801815733 |
|---|---|
| Provider Enumeration Date | 07/19/2006 |
| Last Update Date | 08/29/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801815733 | NPI | - | NPPES |
| 0072202000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | PENDING (West Virginia) | Primary |
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Medical Associates Of Glen Daniels, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 264 Coal River Rd, Glen Daniel, WV 25844 Phone: 304-934-5125 Fax: 304-934-6967 | |
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