Provider First Line Business Practice Location Address:
2121 SW WANAMAKER RD STE 101B
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:
66614-5214
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-289-4600
Provider Business Practice Location Address Fax Number:
785-289-4605
Provider Enumeration Date:
01/11/2025