Outreach Professional Services Inc.

NPI #1407034655 in Lorain, Ohio

Provider Information

NPI Number: 1407034655
Entity Type: Organization
Organization Name: Outreach Professional Services Inc.
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Feb 8, 2008
Last Updated: Jan 12, 2010

Practice Location

Address: 4804 LEAVITT RD
City: Lorain
State: Ohio
ZIP Code: 44053-2139
Phone: (440) 989-2066

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Neurological Surgery	207T00000X
Orthopaedic Surgery	207X00000X	Primary

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Organizations

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