Individual provider · Type 1 NPI

Jason Baltar Rodulfa, MD

Diagnostic Radiology Physician · Coeur D Alene, ID

NPI number 1891102620 Active

Practice location

700 W Ironwood Dr Ste 175
Coeur D Alene, ID 83814-4401

Call (208) 625-6300 Map

Fax (208) 625-6301

Other practice locations

  • 25 Jacobs Gulch Rd, Kellogg, ID 83837-2023 · (208) 784-1221

Specialties and licenses

TaxonomyCodeLicense
Neuroradiology Physician 2085N0700X30016 (WV)
Diagnostic Radiology Physician Primary 2085R0202XM-17337 (ID)
Neuroradiology Physician 2085N0700XM-17337 (ID)
Diagnostic Radiology Physician 2085R0202X20293 (NV)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

32 other providers at this address

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About NPI 1891102620

Jason Baltar Rodulfa, MD's National Provider Identifier is 1891102620, issued on Jul 14, 2014. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Coeur D Alene, ID. The record was last updated on Feb 11, 2026.