Organization Name:  ENDOSCOPY CENTER OF TOPEKA LP


Practice Location:
2200 SW 6TH AVE SUITE 103 TOPEKA, KS 66606 US
Tel: 785-354-1254  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	261QA1903X	Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical	KS	S-089-004

Other Provider Identifiers:

Issuer	Number	State	Type
	100215630-A	KS	05

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin