Provider First Line Business Practice Location Address:
1001 SW GARFIELD AVE
Provider Second Line Business Practice Location Address:
STE 301
Provider Business Practice Location Address City Name:
TOPEKA
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66604-1359
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-233-4256
Provider Business Practice Location Address Fax Number:
785-817-0010
Provider Enumeration Date:
08/17/2006