Provider Demographics
NPI:1205450103
Name:OB-GYN AFFILIATES
Entity type:Organization
Organization Name:OB-GYN AFFILIATES
Other - Org Name:<UNAVAIL>
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:720-307-4456
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 1:3455 LUTHERAN PKWY STE 210
Practice Address - Street 2:
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-6040
Practice Address - Country:US
Practice Address - Phone:303-424-6466
Practice Address - Fax:303-420-8944
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