Provider First Line Business Practice Location Address:
7606 PARKER ST
Provider Second Line Business Practice Location Address:
TBI CLINIC
Provider Business Practice Location Address City Name:
FT RILEY
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66442-4247
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-239-7000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/16/2009