# APPLE VALLEY FAMILY MEDICINE AND URGENT CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558735209
- **Authorized official:** DR. KOLAWALE ADEDEJI OSHIYOYE MD (CEO)
- **Authorized official phone:** (240) 476-0791

## Contact information

- **Practice address:** 202 FOXCROFT AVE, MARTINSBURG, WV 25401-5312
- **Practice address phone:** (240) 476-0791
- **Mailing address:** 202 FOXCROFT AVENUE, MARTINSBURG, WV 25401
- **Mailing address phone:** (240) 476-0791

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 25370 | WV | Yes |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 11/18/2015
- **Last updated:** 01/16/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1427362383 | NPI | WV |