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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