Provider First Line Business Practice Location Address:
550 N. HILLSIDE
Provider Second Line Business Practice Location Address:
PATHOLOGY DEPARTMENT
Provider Business Practice Location Address City Name:
WICHITA
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
67214-4910
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
316-962-2877
Provider Business Practice Location Address Fax Number:
316-962-2878
Provider Enumeration Date:
12/17/2008