Provider First Line Business Practice Location Address:
4301 HUNTOON ST
Provider Second Line Business Practice Location Address:
SUITE #6
Provider Business Practice Location Address City Name:
TOPEKA
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66604
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-273-2922
Provider Business Practice Location Address Fax Number:
785-272-1404
Provider Enumeration Date:
08/21/2006