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Organization

APPLE VALLEY FAMILY MEDICINE AND URGENT CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KOLAWALE ADEDEJI OSHIYOYE MD (CEO)
(240) 476-0791
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25370
WV
261QU0200X
Urgent Care Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1427362383
NPI
WV
Enumeration date
11/18/2015
Last updated
01/16/2024
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