Rocky Mountain Regenerative Medicine, Pllc

NPI #1871068528 in Boulder, Colorado

Provider Information

NPI Number: 1871068528
Entity Type: Organization
Organization Name: Rocky Mountain Regenerative Medicine, Pllc
Primary Specialty: General Practice
Enumeration Date: Oct 9, 2018
Last Updated: Oct 9, 2018

Practice Location

Address: 2260 BASELINE RD STE 102
City: Boulder
State: Colorado
ZIP Code: 80302-7740
Phone: (720) 739-1616

Authorized Official

Name: KHOSHAL LATIFZAI, MD
Title: PARTNER
Phone: (720) 739-1616

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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