Healthcare Provider Details

I. General information

NPI: 1275341174
Provider Name (Legal Business Name): OB/GYN AFFILIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/23/2024
Last Update Date: 12/23/2024
Certification Date: 12/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 E 19TH AVE STE 4200
DENVER CO
80218-1286
US

IV. Provider business mailing address

1601 E 19TH AVE STE 4200
DENVER CO
80218-1286
US

V. Phone/Fax

Practice location:
  • Phone: 303-861-4914
  • Fax: 303-861-8615
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH FOELSKE
Title or Position: COO
Credential:
Phone: 720-375-5845