person
Jason Baltar Rodulfa, MD
Diagnostic Radiology Physician in Charleston, West Virginia
NPI 1891102620

Jason Baltar Rodulfa is a Diagnostic Radiology Physician based in Charleston, WV and is specialized in Diagnostic Radiology. Jason Baltar Rodulfa practices in Charleston, WV and has the professional credentials of MD. The NPI Number for Jason Baltar Rodulfa is 1891102620 and holds a License No. 30016 (West Virginia).

The current practice location address for Jason Baltar Rodulfa is 1120 Kanawha Blvd E, Charleston, WV and can be reached out via phone at 304-344-3457 and via fax at 304-344-3480. You can also correspond with Jason Baltar Rodulfa through the mailing address at PO BOX 11137, CHARLESTON, WV - 25339-1137 (mailing address contact number: 304-344-3457).

Location: 1120 Kanawha Blvd E, Charleston, WV, 25339-1137
person
Provider Profile Details
NPI Number
1891102620
Provider Name
Jason Baltar Rodulfa
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1120 Kanawha Blvd E, Charleston, WV, 25339-1137
Phone Number
304-344-3457
Fax Number
304-344-3480
Provider Enumeration Date
07/14/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1120 Kanawha Blvd E
City
State
Zip
25301-2400
Phone Number
304-344-3457
Fax Number
304-344-3480
person
Provider Business Mailing Address Details
Address
1120 Kanawha Blvd E
City
State
Zip
25301-2400
Phone Number
304-344-3457
Fax Number
304-344-3480
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Neuroradiology
Taxonomy
License No.
MT205819 (Pennsylvania)
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
MD60924705 (Washington)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
30016 (West Virginia)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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