Individual
MR. RODOLFO BAURA CEBALLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1122 CULBERT DRIVE, MARION, VA 24354-4212
(276) 783-7914
(276) 783-1882
Mailing address
1122 CULBERT DRIVE, MARION, VA 24354-4212
(276) 783-7914
(276) 783-1882
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101024299
VA
208D00000X
General Practice Physician
Primary
0101024299
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
062952
ANTHEM
VA
Enumeration date
09/27/2006
Last updated
09/11/2025
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