Provider First Line Business Practice Location Address:
2231 SW WANAMAKER RD.
Provider Second Line Business Practice Location Address:
SUITE 201
Provider Business Practice Location Address City Name:
TOPEKA
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66614-4275
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-267-6227
Provider Business Practice Location Address Fax Number:
785-267-7309
Provider Enumeration Date:
07/21/2006