Individual provider · Type 1 NPI

Glen S. Jordan, PA-C

Medical Physician Assistant · Huntington, WV

NPI number 1790885341 Active

Practice location

1340 Hal Greer Blvd
Huntington, WV 25701-3804

Call (304) 399-6727 Map

Fax (304) 399-6726

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X01222 (WV)

Medical Physician Assistant: Definition to come...

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About NPI 1790885341

Glen S. Jordan, PA-C's National Provider Identifier is 1790885341, issued on Sep 24, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Huntington, WV. The record was last updated on Apr 13, 2021.