Individual
DR. JASON BALTAR RODULFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
30016
WV
2085N0700X
Neuroradiology Physician
M-17337
ID
2085R0202X
Diagnostic Radiology Physician
20293
NV
2085R0202X
Diagnostic Radiology Physician
Primary
M-17337
ID
Other
Enumeration date
07/14/2014
Last updated
02/11/2026
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