Provider First Line Business Practice Location Address:
6231 SW 29TH ST
Provider Second Line Business Practice Location Address:
SUITE 200
Provider Business Practice Location Address City Name:
TOPEKA
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66614-4274
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-273-2350
Provider Business Practice Location Address Fax Number:
785-273-4252
Provider Enumeration Date:
03/09/2006