Provider First Line Business Practice Location Address:
1225 N 2ND ST
Provider Second Line Business Practice Location Address:
RAMSEY MEDICAL BLDG. LOWER LEVEL
Provider Business Practice Location Address City Name:
ATCHISON
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66002-1401
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
913-367-0105
Provider Business Practice Location Address Fax Number:
913-367-0105
Provider Enumeration Date:
01/03/2007