Outreach Professional Services Inc.

NPI #1851578157 in Ashtabula, Ohio

Provider Information

NPI Number: 1851578157
Entity Type: Organization
Organization Name: Outreach Professional Services Inc.
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Jan 29, 2008
Last Updated: Jan 12, 2010

Practice Location

Address: 416 W 27TH ST
City: Ashtabula
State: Ohio
ZIP Code: 44004-4975
Phone: (440) 997-5427

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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