Provider First Line Business Practice Location Address:
2200 SW 6TH AVE
Provider Second Line Business Practice Location Address:
STE 104
Provider Business Practice Location Address City Name:
TOPEKA
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66606-1707
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-354-8518
Provider Business Practice Location Address Fax Number:
785-354-1255
Provider Enumeration Date:
02/01/2006