Provider First Line Business Practice Location Address:
3310 SE 29TH ST
Provider Second Line Business Practice Location Address:
SUITE 300
Provider Business Practice Location Address City Name:
TOPEKA
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66605-2090
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-270-7444
Provider Business Practice Location Address Fax Number:
785-273-1676
Provider Enumeration Date:
07/21/2005