Individual
PIERRE PODREBARAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2790 CLAY EDWARDS DR STE 500, NORTH KANSAS CITY, MO 64116-3243
(816) 468-8820
(816) 468-8898
Mailing address
5101 COLLEGE BLVD, LEAWOOD, KS 66211-1614
(816) 478-4200
(816) 875-2598
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
04-26208
KS
207Y00000X
Otolaryngology Physician
Primary
1999140782
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204822506
—
MO
Enumeration date
12/20/2005
Last updated
07/30/2024
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