Provider Demographics
NPI:1851915730
Name:OB-GYN AFFILIATES
Entity Type:Organization
Organization Name:OB-GYN AFFILIATES
Other - Org Name:SKY DIVAS OB/GYN
Other - Org Type:Other Name
Authorized Official - Title/Position:AUTHORIZED REPRESENTATIVE
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:FOELSKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-307-4456
Mailing Address - Street 1:1745 SHEA CENTER DR STE 400
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80129-1540
Mailing Address - Country:US
Mailing Address - Phone:720-307-4456
Mailing Address - Fax:303-479-1004
Practice Address - Street 1:10103 RIDGEGATE PKWY STE 313
Practice Address - Street 2:
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-5525
Practice Address - Country:US
Practice Address - Phone:303-248-3911
Practice Address - Fax:303-635-6286
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OB-GYN AFFILIATES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-06-05
Last Update Date:2020-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty