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Individual

JAKE VRDOLJAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8926 WOODYARD RD, SUITE 301, CLINTON, MD 20735
(301) 856-3670
(301) 868-0129
Mailing address
17310 WRIGHT ST, STE 103, OMAHA, NE 68130-2405
(833) 228-6889
(877) 853-0376

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
13076C
WY
2085R0202X
Diagnostic Radiology Physician
16881
ND
2085R0202X
Diagnostic Radiology Physician
2020036306
MO
2085R0202X
Diagnostic Radiology Physician
285721
MA
2085R0202X
Diagnostic Radiology Physician
D0053852
MD
2085R0202X
Diagnostic Radiology Physician
MD31914
DC
2085R0205X
Radiological Physics Physician
Primary
0101222180
VA
2085R0205X
Radiological Physics Physician
036095623
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
023794900
DC
05
1619976230
VA
05
510908600
MD
Enumeration date
07/15/2005
Last updated
09/23/2025
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