Provider First Line Business Practice Location Address:
2100 BAPTISTE DR
Provider Second Line Business Practice Location Address:
MIAMI COUNTY MEDICAL CENTER
Provider Business Practice Location Address City Name:
PAOLA
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66071
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
913-294-6656
Provider Business Practice Location Address Fax Number:
913-294-6639
Provider Enumeration Date:
08/31/2006