Most Relevant Information
Provider Data
| NPI Number: | 1003252503 |
| Provider Name: | JACOB PODLESKI |
| Entity Type: | Individual |
| Taxonomy Code: | 207L00000X |
| Specialty: | Anesthesiology |
| License Number: | 2017007787 |
Most Important Dates
| Enumeration Date: | 05/12/2013 |
| Last Updated: | 07/21/2022 |
Provider Practice Location
1102 W 32ND ST
JOPLIN
MO
648043503
Practice Location Phone/Fax
| Phone: | 4173471078 |
| Fax: |
Provider Mailing Location
PO BOX 3810
JOPLIN
MO
648033810
Provider Mailing Phone/Fax
| Phone: | 4173471078 |
| Fax: |