Individual
DR. RODOLFO S POLINTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
807 TURNPIKE AVE, SUITE 120, CLEARFIELD, PA 16830-1238
(814) 765-8590
(814) 765-5058
Mailing address
809 TURNPIKE AVE, CLEARFIELD, PA 16830-1232
(814) 768-2356
(814) 768-2134
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD022179E
PA
207XP3100X
Pediatric Orthopaedic Surgery Physician
MD022179E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105747
BLUE CROSS/BLUE SHIELD
PA
01
—
18081
GEISINGER
PA
01
—
211174
UPMC
PA
Enumeration date
12/09/2005
Last updated
04/26/2012
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