Outreach Professional Services, Inc.

NPI #1609186204 in Independence, Ohio

Provider Information

NPI Number: 1609186204
Entity Type: Organization
Organization Name: Outreach Professional Services, Inc.
Primary Specialty: Surgery
Enumeration Date: Oct 15, 2010
Last Updated: Oct 15, 2010

Practice Location

Address: 4400 ROCKSIDE ROAD
Address 2: SUITE 2200
City: Independence
State: Ohio
ZIP Code: 44131
Phone: (216) 363-7075

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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