Outreach Professional Services INC

NPI #1780866467 in Cleveland, Pennsylvania

Provider Information

NPI Number: 1780866467
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: 2322 EAST 22ND ST
Address 2: SUITE 207
City: Cleveland
State: Pennsylvania
ZIP Code: 44145
Phone: (216) 592-2801

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Surgery	208600000X	Primary

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