Healthcare Provider Details

I. General information

NPI: 1861845877
Provider Name (Legal Business Name): ALEJANDRO ESPARZA JR. CSFA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2016
Last Update Date: 07/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3473 WATADA ST
BRIGHTON CO
80601-3437
US

IV. Provider business mailing address

3473 WATADA ST
BRIGHTON CO
80601-3437
US

V. Phone/Fax

Practice location:
  • Phone: 720-466-9406
  • Fax:
Mailing address:
  • Phone: 720-466-9406
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: