DR. Jason Baltar Rodulfa, MD

NPI #1891102620 in Coeur D Alene, Idaho

Provider Information

NPI Number: 1891102620
Entity Type: Individual
Name: DR. Jason Baltar Rodulfa, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Radiology - Neuroradiology
Credential: MD
Enumeration Date: Jul 14, 2014
Last Updated: Jul 22, 2025

Practice Location

Address: 700 W IRONWOOD DR STE 175
City: Coeur D Alene
State: Idaho
ZIP Code: 83814-4401
Phone: (208) 625-6300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Radiology - Neuroradiology — Neuroradiology	2085N0700X	Primary
Radiology - Diagnostic Radiology — Diagnostic Radiology	2085R0202X

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