Outreach Professional Services INC

NPI #1396927067 in Cleveland, Ohio

Provider Information

NPI Number: 1396927067
Entity Type: Organization
Organization Name: Outreach Professional Services INC
Primary Specialty: Surgery
Enumeration Date: Dec 4, 2007
Last Updated: Jan 12, 2010

Practice Location

Address: 4415 EUCLID AVE
Address 2: SUITE 110
City: Cleveland
State: Ohio
ZIP Code: 44103
Phone: (216) 231-5612

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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