Provider First Line Business Practice Location Address:
2200 SW 10TH AVE
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:
66604-3904
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-234-8601
Provider Business Practice Location Address Fax Number:
785-234-2575
Provider Enumeration Date:
02/24/2006