Organization
MINOR MED PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE ILIFF (BUSINESS MANAGER)
(785) 272-4000
Entity
Organization
Contact information
Practice address
1119 SW GAGE BLVD, TOPEKA, KS 66604-1999
(785) 272-4000
(785) 272-0894
Mailing address
1119 SW GAGE BLVD, TOPEKA, KS 66604-1999
(785) 272-4000
(785) 272-0894
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/31/2006
Last updated
07/29/2019
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