Provider First Line Business Practice Location Address:
700 MEDICAL CENTER DR STE 210
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:
67114-9017
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
316-283-2800
Provider Business Practice Location Address Fax Number:
316-283-3575
Provider Enumeration Date:
10/18/2019