Provider First Line Business Practice Location Address:
5605 SW BARRINGTON CT S
Provider Second Line Business Practice Location Address:
SUITE 200
Provider Business Practice Location Address City Name:
TOPEKA
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66614
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-272-1313
Provider Business Practice Location Address Fax Number:
785-272-1368
Provider Enumeration Date:
10/04/2006