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Dr. Jason Baltar Rodulfa, MD
Diagnostic Radiology Physician in Coeur D Alene, Idaho
NPI 1891102620

Jason Baltar Rodulfa is a Diagnostic Radiology Physician based in Coeur D Alene, ID and is specialized in Diagnostic Radiology. Jason Baltar Rodulfa practices in Coeur D Alene, ID and has the professional credentials of MD. The NPI Number for Jason Baltar Rodulfa is 1891102620 and holds a License No. M-17337 (Idaho).

The current practice location address for Jason Baltar Rodulfa is 700 W Ironwood Dr Ste 175, Coeur D Alene, ID and can be reached out via phone at 208-625-6300 and via fax at 208-625-6301.

Location: 700 W Ironwood Dr Ste 175, Coeur D Alene, ID, 83814-4401
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891102620
Provider Name
Jason Baltar Rodulfa
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
700 W Ironwood Dr Ste 175, Coeur D Alene, ID, 83814-4401
Phone Number
208-625-6300
Fax Number
208-625-6301
Provider Enumeration Date
07/14/2014
Last Update Date
05/18/2024
institution
Provider Business Practice Location Address Details
Address
700 W Ironwood Dr Ste 175
City
Coeur D Alene
State
Idaho
Zip
83814-4401
Phone Number
208-625-6300
Fax Number
208-625-6301
person
Provider Business Mailing Address Details
Address
700 W Ironwood Dr Ste 175
City
Coeur D Alene
State
Idaho
Zip
83814-4401
Phone Number
208-625-6300
Fax Number
208-625-6301
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Neuroradiology
Taxonomy
2085N0700X
License No.
30016 (West Virginia)
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
2085R0202X
License No.
M-17337 (Idaho)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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Similar Doctors in Coeur D Alene, Idaho:

institution
Radiology Associates Of North Idaho, Pa
NPI 1851384416
Diagnostic Radiology Physician
700 W Ironwood Dr Ste 175,
COEUR D ALENE, ID
83814-4401
208-625-6309
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