Provider First Line Business Practice Location Address:
2400 SW 29TH ST
Provider Second Line Business Practice Location Address:
SUITE 226
Provider Business Practice Location Address City Name:
TOPEKA
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66611-1738
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-266-3801
Provider Business Practice Location Address Fax Number:
785-267-2986
Provider Enumeration Date:
07/05/2006