Provider First Line Business Practice Location Address:
2905 SW 29TH ST
Provider Second Line Business Practice Location Address:
SUITE B
Provider Business Practice Location Address City Name:
TOPEKA
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66614-2003
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-271-2800
Provider Business Practice Location Address Fax Number:
785-271-2806
Provider Enumeration Date:
08/25/2006