Provider First Line Business Practice Location Address:
101 BLUEMONT AVE
Provider Second Line Business Practice Location Address:
ATTN: ROTTINGHAUS EYE CARE, P.A.
Provider Business Practice Location Address City Name:
MANHATTAN
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66502-5093
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-539-0777
Provider Business Practice Location Address Fax Number:
785-537-0778
Provider Enumeration Date:
11/07/2008