# APOGEE MEDICAL GROUP, WEST VIRGINIA, PLLC

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

## Provider details

- **NPI number:** 1669708442
- **Authorized official:** KEVIN GREGORY (CIO)
- **Authorized official phone:** (602) 778-3600

## Contact information

- **Practice address:** 20 HOSPITAL DR, LOGAN, WV 25601-3452
- **Practice address phone:** (304) 831-1643
- **Mailing address:** PO BOX 708760, SANDY, UT 84070-8760
- **Mailing address phone:** (972) 269-1897
- **Mailing address fax:** (801) 352-7976

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 10/28/2009
- **Last updated:** 10/02/2023