Simisola Awofodu
NPI #1376186684 in Springfield, Virginia
Provider Information
- NPI Number
- 1376186684
- Entity Type
- Individual
- Name
- Simisola Awofodu
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Oct 21, 2019
- Last Updated
- Apr 20, 2023
Practice Location
- Address
- 6230 ROLLING RD STE J
- City
- Springfield
- State
- Virginia
- ZIP Code
- 22152-2326
- Phone
- (571) 889-3235
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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