Organization · NPI-2

Apple Valley Family Medicine And Urgent Care

Family Medicine · Martinsburg, WV

NPI number1558735209
StatusActive
Last updated in NPPESJan 16, 2024

Details

NPI
1558735209
Entity type
Organization (NPI-2)
Legal business name
Apple Valley Family Medicine And Urgent Care
Organization subpart
No
Enumeration date
Nov 18, 2015
Certification date
Jan 16, 2024
Last updated
Jan 16, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine25370WVYes
261QU0200X Clinic/Center, Urgent Care––

Practice location

202 Foxcroft Ave
Martinsburg, WV 25401-5312

Phone 240-476-0791

Mailing address

202 Foxcroft Avenue
Martinsburg, WV 25401

Phone 240-476-0791

Authorized official

Kolawale Adedeji Oshiyoye
Ceo
2404760791

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