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Organization

TOPEKA PHYSICIAN GROUP, LLC

Active
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Organization

TOPEKA PHYSICIAN GROUP, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHEN C PETROVICH (EVP AND SECRETARY)
(615) 296-3000
Entity
Organization

Contact information

Practice address
1700 SW 7TH ST, TOPEKA, KS 66606-2489
(785) 295-8108
(785) 231-5991
Mailing address
1 BURTON HILLS BLVD STE 250, NASHVILLE, TN 37215-6195
(615) 296-3000
(615) 296-6227

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
207RC0000X
Cardiovascular Disease Physician
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
207RH0003X
Hematology & Oncology Physician

Other

Enumeration date
08/09/2017
Last updated
09/29/2020
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