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Contact Information

JASON B RODULFA, MD
700 W IRONWOOD DR STE 175
COEUR D'ALENE, ID83814-4401
 Phone: 208-625-6300
 Fax: 208-625-6301
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Neuroradiology

2085N0700X
Indicates primary specialty

NPI Profile & details for JASON B RODULFA · (Male)

NPI Number 1891102620
Status Active
Credentials MD
Entity Individual
Enumeration date 07/14/2014
Last updated 02/11/2026 - About 4 months ago
Sole proprietor 1 No
Identifiers
  • ID License # M-17337
  • NV License # 20293
  • WV License # 30016
Hospital affiliation(s)
  • CHARLESTON AREA MEDICAL CENTER - (Acute Care)
    501 MORRIS STREET
    CHARLESTON, WV 25301
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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