Organization
OUTREACH PROFESSIONAL SERVICES INC
Active
Other names
Cuyahoga Physician Network
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY A MOWRER (CREDENTIALING SPECIALIST)
(216) 472-2741
Entity
Organization
Contact information
Practice address
33001 SOLON RD, SUITE 112, SOLON, OH 44139
(440) 248-2197
(440) 349-7131
Mailing address
7580 NORTHCLIFF AVE, SUITE 500, BROOKLYN, OH 44144-3270
(216) 472-2730
(216) 472-2739
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
2084N0400X
Neurology Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0251856
—
OH
Enumeration date
12/04/2007
Last updated
05/10/2011
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