Provider Demographics
NPI:1932898962
Name:OB-GYN AFFILIATES
Entity Type:Organization
Organization Name:OB-GYN AFFILIATES
Other - Org Name:MY OBGYN
Other - Org Type:Doing Business As
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:
Mailing Address - Fax:
Practice Address - Street 1:1600 SPECHT POINT RD STE 127
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-4311
Practice Address - Country:US
Practice Address - Phone:970-591-9559
Practice Address - Fax:833-471-5469
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OB-GYN AFFILIATES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-05-04
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty