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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