Outreach Professional Services, Inc.

NPI #1932434289 in Willoughby, Ohio

Provider Information

NPI Number: 1932434289
Entity Type: Organization
Organization Name: Outreach Professional Services, Inc.
Primary Specialty: Surgery
Enumeration Date: Oct 5, 2009
Last Updated: Oct 5, 2009

Practice Location

Address: 36060 EUCLID AVE
Address 2: SUITE 107
City: Willoughby
State: Ohio
ZIP Code: 44094-4656
Phone: (440) 269-8346

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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