Organization
PEDIATRIC ASSOCIATES OF TOPEKA, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN R ILIFF CPA (OFFICE ADMINISTRATOR)
(785) 235-0335
Entity
Organization
Contact information
Practice address
3500 SW 6TH AVE, TOPEKA, KS 66606-2806
(785) 235-0335
(785) 235-0368
Mailing address
3500 SW 6TH AVE, TOPEKA, KS 66606-2806
(785) 235-0335
(785) 235-0368
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100087820A
—
KS
01
—
3745
BLUE CROSS BLUE SHIELD
KS
Enumeration date
07/07/2006
Last updated
03/22/2013
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