Provider Demographics
NPI:1942918768
Name:OB-GYN AFFILIATES
Entity Type:Organization
Organization Name:OB-GYN AFFILIATES
Other - Org Name:
Other - Org Type:
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:720-375-5845
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:
Practice Address - Street 1:217 BROADWAY ST UNIT 4
Practice Address - Street 2:
Practice Address - City:EAGLE
Practice Address - State:CO
Practice Address - Zip Code:81631-5160
Practice Address - Country:US
Practice Address - Phone:303-730-2229
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OB-GYN AFFILIATES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-11-10
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty