OUTREACH PROFESSIONAL SERVICES INC NPI 1033391792

NPI Information

OUTREACH PROFESSIONAL SERVICES INC is a podiatrist in Lakewood, OH. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. OUTREACH PROFESSIONAL SERVICES INC NPI is 1033391792. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Cuyahoga Physician Network.

The provider's business location address is:

14601 DETROIT RD
SUITE 640
LAKEWOOD, OH
ZIP 44107
Phone: (216) 221-1500

The provider's authorized official is Misty A Blaylock .
The authorized official title is Credentialing Coordinator and has the following contact phone number (440) 892-6406.

The enumeration date for this NPI number is 12/4/2007 and was last updated on 1/12/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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