person
Mr. Glen S. Jordan, PA-C
Medical Physician Assistant in Huntington, West Virginia
NPI 1790885341

Glen S. Jordan is a Medical Physician Assistant based in Huntington, WV and is specialized in Medical. Glen S. Jordan practices in Huntington, WV and has the professional credentials of PA-C. The NPI Number for Glen S. Jordan is 1790885341 and holds a License No. 01222 (West Virginia).

The current practice location address for Glen S. Jordan is 1340 Hal Greer Blvd, Huntington, WV and can be reached out via phone at 304-399-6727 and via fax at 304-399-6726.

Location: 1340 Hal Greer Blvd, Huntington, WV, 25701-3804
person
Provider Profile Details
NPI Number
1790885341
Provider Name
Glen S. Jordan
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1340 Hal Greer Blvd, Huntington, WV, 25701-3804
Phone Number
304-399-6727
Fax Number
304-399-6726
Provider Enumeration Date
09/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00711764 01 WV MEDICARE RR
0080124 05 OH
7100118540 05 KY
1790885341 05 WV
institution
Provider Business Practice Location Address Details
Address
1340 Hal Greer Blvd
City
State
Zip
25701-3804
Phone Number
304-399-6727
Fax Number
304-399-6726
person
Provider Business Mailing Address Details
Address
1340 Hal Greer Blvd
City
State
Zip
25701-3804
Phone Number
304-399-6727
Fax Number
304-399-6726
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
01222 (West Virginia)
Definition
Definition to come...
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