# FIFTH AVENUE OB GYN PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477665776
- **Authorized official:** FREDERIC E SAGER D.O. (CEO)
- **Authorized official phone:** (515) 243-4241

## Contact information

- **Practice address:** 303 UNIVERSITY AVE, DES MOINES, IA 50314-3126
- **Practice address phone:** (515) 243-4241
- **Practice address fax:** (515) 243-0209
- **Mailing address:** 2213 GRAND AVE, DES MOINES, IA 50312-5305
- **Mailing address phone:** (515) 237-3974
- **Mailing address fax:** (515) 883-2692

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 01747 | IA | Yes |
| 363LW0102X | Women's Health Nurse Practitioner | F060593 | IA | — |
| 363LW0102X | Women's Health Nurse Practitioner | F070928 | IA | — |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 10/02/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0112987 | — | IA |