NPI 1356523963

Outreach Professional Services INC

Organisation Obstetrics & Gynecology Physician Westlake, OH

Practice location

Address: 29325 Health Campus Dr Suite 1, Westlake, OH 44145
Phone: (440) 835-6996
Fax: (440) 808-9738
Mailing address: 26908 Detroit Rd Suite 301, Westlake, OH 44145-2398

Authorised official

Name: Misty a Blaylock
Title: Credentialing Coordinator
Phone: (440) 892-6406

Registered specialties (2)

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X

Other Obstetrics & Gynecology providers in Ohio →

Advanced Practice Midwife

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X

Other Advanced Practice Midwife providers in Ohio →

Registry record

NPI: 1356523963
Entity type: Organization
NPI issued: 5 Dec 2007
Record last updated: 12 Jan 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.