| Promedt | |
|
1125 Sw Gage Blvd Suite C Topeka KS 66604-2280 | |
| (785) 783-3706 | |
| Not Available |
| Full Name | Promedt |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1125 Sw Gage Blvd, Topeka, Kansas |
| Authorized Official Name and Position | Timothy L Heston (OWNER/MEDICAL DIRECTOR) |
| Authorized Official Contact | 7854085228 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Promedt 6021 Sw 29th St Suite 1 Pmb 358 Topeka KS 66614-6200 Ph: (785) 408-5228 | Promedt 1125 Sw Gage Blvd Suite C Topeka KS 66604-2280 Ph: (785) 783-3706 |
| NPI Number | 1053851261 |
|---|---|
| Provider Enumeration Date | 03/07/2017 |
| Last Update Date | 03/07/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053851261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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