Provider First Line Business Practice Location Address:
2840 SW URISH ROAD
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-273-4443
Provider Business Practice Location Address Fax Number:
785-228-9892
Provider Enumeration Date:
06/19/2006