Provider First Line Business Practice Location Address:
730 MEDICAL CENTER DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEWTON
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
67114-8778
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
316-283-1141
Provider Business Practice Location Address Fax Number:
316-283-1162
Provider Enumeration Date:
04/12/2006