Provider First Line Business Practice Location Address:
3520 SW 6TH AVE
Provider Second Line Business Practice Location Address:
SUITE B
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:
785-368-0400
Provider Business Practice Location Address Fax Number:
785-368-0435
Provider Enumeration Date:
04/20/2007