Outreach Professional Services INC

NPI #1033391792 in Lakewood, Ohio

Provider Information

NPI Number: 1033391792
Entity Type: Organization
Organization Name: Outreach Professional Services INC
Primary Specialty: Podiatrist
Enumeration Date: Dec 4, 2007
Last Updated: Jan 12, 2010

Practice Location

Address: 14601 DETROIT RD
Address 2: SUITE 640
City: Lakewood
State: Ohio
ZIP Code: 44107
Phone: (216) 221-1500

Authorized Official

Name: MISTY A BLAYLOCK
Title: CREDENTIALING COORDINATOR
Phone: (440) 892-6406

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X
Podiatrist	213E00000X	Primary

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