Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Rocky Mountain Regenerative Medicine, PLLC

Organization General Practice Physician · NPI 1871068528

Rocky Mountain Regenerative Medicine, PLLC provides General Practice Physician services in Boulder, Colorado. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2260 Baseline Rd Ste 102
Boulder, CO 80302-7740
Phone: (720) 739-1616
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1871068528
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Khoshal Latifzai — Partner · (720) 739-1616
NPI enumeratedOctober 9, 2018
Last updated in NPPESOctober 9, 2018
Mailing address2260 Baseline Rd Ste 102, Boulder, CO 80302-7740

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