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Organization

OUTREACH PROFESSIONAL SERVICES INC

Active
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Organization

OUTREACH PROFESSIONAL SERVICES INC

Active
Other names
Cuyahoga Physician Network
Organization subpart
No

Provider details

NPI number
Authorized official
MISTY A BLAYLOCK (CREDENTIALING COORDINATOR)
(440) 892-6406
Entity
Organization

Contact information

Practice address
29325 HEALTH CAMPUS DR, SUITE 1, WESTLAKE, OH 44145
(440) 835-6996
(440) 808-9738
Mailing address
26908 DETROIT RD, SUITE 301, WESTLAKE, OH 44145-2398
(440) 617-1823
(440) 617-0884

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
367A00000X
Advanced Practice Midwife
—
NULL
367A00000X
Advanced Practice Midwife
—
—

Other

Enumeration date
12/05/2007
Last updated
01/12/2010
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