Provider First Line Business Practice Location Address:
5331 SW 22ND PLACE
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:
66614-1824
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-272-3600
Provider Business Practice Location Address Fax Number:
785-272-3600
Provider Enumeration Date:
11/16/2006