Provider First Line Business Practice Location Address:
1835 NW TOPEKA BLVD
Provider Second Line Business Practice Location Address:
STE 111
Provider Business Practice Location Address City Name:
TOPEKA
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66608-1824
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-285-6219
Provider Business Practice Location Address Fax Number:
785-232-9410
Provider Enumeration Date:
09/21/2005