Provider First Line Business Practice Location Address:
1700 SW COLLEGE AVE
Provider Second Line Business Practice Location Address:
MORGAN HALL ROOM 170
Provider Business Practice Location Address City Name:
TOPEKA
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66621-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-670-1470
Provider Business Practice Location Address Fax Number:
785-670-1029
Provider Enumeration Date:
04/11/2011