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Organization
EMMANUEL O. SOYOOLA MD PC
Active
Organization
EMMANUEL O. SOYOOLA MD PC
Active
Other names
Olan Comprehensive Womens Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMMANUEL OLUSOLA SOYOOLA M.D.,PHD.,F.A.C.O.G. (PHYSICIAN/OWNER)
(304) 752-6780
Entity
Organization
Contact information
Practice address
70 HOSPITAL DR, KRUGER MEDICAL PLAZA, SUITE 200, LOGAN, WV 25601-3452
(304) 752-6780
(304) 752-6782
Mailing address
PO BOX 536, LOGAN, WV 25601-0536
(304) 752-6780
(304) 752-6782
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
21399
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811315000
—
WV
Enumeration date
10/25/2007
Last updated
10/27/2008
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