Individual
DR. DAMIEN JUDE RODULFO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC, CCSP
Contact information
Practice address
2105 W CORNWALLIS DR STE C, A, GREENSBORO, NC 27408-7098
(336) 235-4530
(336) 235-0754
Mailing address
2105 W CORNWALLIS DR STE C, GREENSBORO, NC 27408-7098
(336) 235-4530
(336) 235-0754
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
3242
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085UR
BCBS NUMBER
NC
05
—
89085UR
—
NC
Enumeration date
11/15/2005
Last updated
04/06/2017
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