Provider First Line Business Practice Location Address:
1000 HOSPITAL DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MCPHERSON
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
67460-2326
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
316-262-4467
Provider Business Practice Location Address Fax Number:
316-262-4684
Provider Enumeration Date:
09/21/2010