Healthcare Provider Details

I. General information

NPI: 1841375276
Provider Name (Legal Business Name): ORALEE L EKBERG DO PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 E HARVARD AVE SUITE 250
DENVER CO
80210-7009
US

IV. Provider business mailing address

950 E HARVARD AVE SUITE 250
DENVER CO
80210-7009
US

V. Phone/Fax

Practice location:
  • Phone: 303-871-9585
  • Fax: 303-871-9751
Mailing address:
  • Phone: 303-871-9585
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number41813
License Number StateCO

VIII. Authorized Official

Name: ORALEE LORENE EKBERG-KEANAAINA
Title or Position: PRESIDENT
Credential: DO
Phone: 303-871-9585