Provider First Line Business Practice Location Address:
3500 SW 6TH AVE
Provider Second Line Business Practice Location Address:
SUITE 116
Provider Business Practice Location Address City Name:
TOPEKA
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66606-2806
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-233-7138
Provider Business Practice Location Address Fax Number:
785-233-7089
Provider Enumeration Date:
12/01/2005