Provider Demographics
NPI:1124080676
Name:FIGGE, DALE PRESTON (MD)
Entity type:Individual
Prefix:
First Name:DALE
Middle Name:PRESTON
Last Name:FIGGE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4300 SUMMERHILL CT
Mailing Address - Street 2:
Mailing Address - City:PADUCAH
Mailing Address - State:KY
Mailing Address - Zip Code:42001
Mailing Address - Country:US
Mailing Address - Phone:270-444-7690
Mailing Address - Fax:
Practice Address - Street 1:2605 KENTUCKY AVE
Practice Address - Street 2:STE 402
Practice Address - City:PADUCAH
Practice Address - State:KY
Practice Address - Zip Code:42003-3803
Practice Address - Country:US
Practice Address - Phone:270-442-7181
Practice Address - Fax:270-442-0113
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY26521207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64265218Medicaid
0060502Medicare ID - Type Unspecified
C01130Medicare UPIN