Rodulfa, Jason Baltar

Rodulfa, Jason Baltar is an individual health care provider with primary practice located at 700 W Ironwood Dr Ste 175 , Coeur D Alene ID 83814-4401. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Rodulfa, Jason Baltar can be contacted via phone (208) 625-6300.

Contact Information

Primary practice address
700 W Ironwood Dr Ste 175 Coeur D Alene ID 83814-4401
Phone: (208) 625-6300
Fax: (208) 625-6301
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X M-17337 Idaho
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 30016 West Virginia
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 20293 Nevada
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X M-17337 Idaho

Profile Details

NPI number 1891102620
LBN Legal business name Rodulfa, Jason Baltar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2014
Last updated Apr 28th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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