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Organization

RICARDO ESPARZA, PH.D., PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICARDO ESPARZA PH.D. (MANAGING PARTNER)
(303) 447-0022
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
646
CO

Other

Enumeration date
11/17/2011
Last updated
11/17/2011
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