Provider First Line Business Practice Location Address:
5700 SW 38TH 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:
66610-1252
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-295-9753
Provider Business Practice Location Address Fax Number:
785-233-1817
Provider Enumeration Date:
10/17/2006