Provider First Line Business Practice Location Address:
2219 SW 29TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TOPEKA
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66611-1908
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-267-5900
Provider Business Practice Location Address Fax Number:
785-267-1224
Provider Enumeration Date:
01/09/2007