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Individual

DR. RICHARD OLUTOYIN AJAYI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
310 AMERICAN WAY STE A, WEIRTON, WV 26062-4083
(304) 797-6410
(304) 797-6320
Mailing address
PO BOX 6230, WHEELING, WV 26003-0722
(304) 242-7106

Taxonomy

Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
20859
WV
2084P0800X
Psychiatry Physician
Primary
20859
WV
2084P0800X
Psychiatry Physician
35.095675
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2349908
OH
05
3003312000
WV
Enumeration date
03/15/2006
Last updated
10/13/2022
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