Provider First Line Business Practice Location Address:
3500 SW 6TH AVE
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:
66606-2814
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-235-0335
Provider Business Practice Location Address Fax Number:
785-235-0368
Provider Enumeration Date:
12/05/2007