Basic Information
| Provider Information | |||||||||
| NPI: | 1144221714 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DIP-FIGUEROA | ||||||||
| FirstName: | ALLAN | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2910 EMERSON AVE | ||||||||
| Address2: | |||||||||
| City: | PARKERSBURG | ||||||||
| State: | WV | ||||||||
| PostalCode: | 261042519 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3044281900 | ||||||||
| FaxNumber: | 3044281976 | ||||||||
| Practice Location | |||||||||
| Address1: | 305 CLAY ST | ||||||||
| Address2: | |||||||||
| City: | SISTERSVILLE | ||||||||
| State: | WV | ||||||||
| PostalCode: | 261751059 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3044472038 | ||||||||
| FaxNumber: | 3044473990 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/09/2005 | ||||||||
| LastUpdateDate: | 06/08/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/08/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | WV14444 | WV | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.