Organization
PROMEDT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY L HESTON D.O. (OWNER/MEDICAL DIRECTOR)
(785) 408-5228
Entity
Organization
Contact information
Practice address
1125 SW GAGE BLVD, SUITE C, TOPEKA, KS 66604-2280
(785) 783-3706
Mailing address
6021 SW 29TH ST, SUITE 1 PMB 358, TOPEKA, KS 66614-6200
(785) 408-5228
(785) 783-8026
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/07/2017
Last updated
03/07/2017
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