Provider Demographics
NPI:1740267632
Name:FOE, ELAINE V (MD)
Entity type:Individual
Prefix:
First Name:ELAINE
Middle Name:V
Last Name:FOE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1931 65TH AVE
Mailing Address - Street 2:STE C
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80634-7946
Mailing Address - Country:US
Mailing Address - Phone:970-352-1877
Mailing Address - Fax:970-356-9274
Practice Address - Street 1:1931 65TH AVE
Practice Address - Street 2:STE C
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634-7946
Practice Address - Country:US
Practice Address - Phone:970-352-1877
Practice Address - Fax:970-356-9274
Is Sole Proprietor?:No
Enumeration Date:2005-12-30
Last Update Date:2008-05-30
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Provider Licenses
StateLicense IDTaxonomies
CO25630207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO60609770Medicaid
CO60609770Medicaid
COD24673Medicare UPIN