# RICARDO ESPARZA, PH.D., PLLC

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

## Provider details

- **NPI number:** 1992072094
- **Authorized official:** DR. RICARDO ESPARZA PH.D. (MANAGING PARTNER)
- **Authorized official phone:** (303) 447-0022

## Contact information

- **Practice address:** 1790 30TH ST, SUITE 120, BOULDER, CO 80301-1022
- **Practice address phone:** (303) 447-0022
- **Practice address fax:** (303) 541-9712
- **Mailing address:** 1790 30TH ST, SUITE 120, BOULDER, CO 80301-1022
- **Mailing address phone:** (303) 447-0022
- **Mailing address fax:** (303) 541-9712

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | 646 | CO | Yes |

## Other

- **Enumeration date:** 11/17/2011
- **Last updated:** 11/17/2011