Provider First Line Business Practice Location Address:
220 SW 33RD ST B101
Provider Second Line Business Practice Location Address:
B101
Provider Business Practice Location Address City Name:
TOPEKA
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66611
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-338-8900
Provider Business Practice Location Address Fax Number:
785-338-8907
Provider Enumeration Date:
12/30/2025