Provider First Line Business Practice Location Address:
6001 SW 6TH AVENUE
Provider Second Line Business Practice Location Address:
SUITE 250
Provider Business Practice Location Address City Name:
TOPEKA
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66615
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-246-9027
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/07/2005