Organization
SANDAL, INC
Active
Other names
Emerson Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLAN DIP FIGUEROA M.D. (PHYSICIAN)
(304) 428-1900
Entity
Organization
Contact information
Practice address
2910 EMERSON AVE, PARKERSBURG, WV 26104-2519
(304) 428-1900
(304) 428-1976
Mailing address
2910 EMERSON AVE, PARKERSBURG, WV 26104-2519
(304) 428-1900
(304) 428-1976
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
14444
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0049665000
—
WV
Enumeration date
05/31/2007
Last updated
11/08/2007
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