MEDICARE: DR. ALLAN DIP-FIGUEROA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	WV14444	WV
2	208D00000X	General Practice Physician	14444	WV

General Provider Information

NPI Number	:	1144221714
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALLAN DIP-FIGUEROA MD

Provider Business Mailing Address
First Line	:	416 COLEGATE DR BLDG 3
Second Line	:
City	:	MARIETTA
State	:	OH
Zip	:	45750-9549
Country	:	US
Telephone Number	:	740-374-3526
Fax Number	:	740-374-3165

Provider Business Practice Location Address
First Line	:	1861 N PLEASANTS HWY # 101
Second Line	:
City	:	SAINT MARYS
State	:	WV
Zip	:	26170-8511
Country	:	US
Telephone Number	:	681-612-1022
Fax Number	:	304-447-2556

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	09/15/2025

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