Provider First Line Business Practice Location Address:
6001 SW 6TH AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TOPEKA
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66615-1004
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-271-2250
Provider Business Practice Location Address Fax Number:
785-271-2253
Provider Enumeration Date:
06/24/2006