NPI 1003017492

Sandal, INC

Organisation Preferred Provider Organization Parkersburg, WV

Practice location

Address: 2910 Emerson Ave, Parkersburg, WV 26104-2519
Phone: (304) 428-1900
Fax: (304) 428-1976

Authorised official

Name: Allan Dip Figueroa
Title: Physician
Phone: (304) 428-1900

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 14444 (WV)

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Registry record

NPI: 1003017492
Entity type: Organization
NPI issued: 31 May 2007
Record last updated: 8 Nov 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.