Organization
PS127&JN434, LLC
Active
Other names
VINTAGE MEDICAL ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA HESTON (PRACTICE MANAGER)
(785) 408-5228
Entity
Organization
Contact information
Practice address
2655 SW WANAMAKER RD STE H, TOPEKA, KS 66614-4477
(785) 408-5228
(785) 783-8026
Mailing address
6021 SW 29TH ST STE A, PMB 358, TOPEKA, KS 66614-6201
(785) 408-5228
(785) 783-8026
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/11/2010
Last updated
09/28/2020
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