| Mark Richard Campbell, MSPT, OCS, CMPT | |
|
300 W. Colorado Ave, Unit 2b, Telluride, CO 81435-3178 | |
| (970) 728-1888 | |
| (970) 369-4671 |
| Full Name | Mark Richard Campbell |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 300 W. Colorado Ave, Telluride, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215948633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 5562 (Colorado) | Primary |
| Entity Name | Peak Performance Therapy Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447263686 PECOS PAC ID: 5991619801 Enrollment ID: O20031114000634 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Richard Campbell, MSPT, OCS, CMPT Po Box 3178, Telluride, CO 81435-3178 Ph: (970) 728-1888 | Mark Richard Campbell, MSPT, OCS, CMPT 300 W. Colorado Ave, Unit 2b, Telluride, CO 81435-3178 Ph: (970) 728-1888 |
Mrs. Laura J Homer, MPT, OCS Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 750 West Pacific Avenue, Telluride, CO 81435 Phone: 970-728-8948 Fax: 970-728-8953 | |
Mrs. Alison Mary Palmer, MCSP, OCS, CMPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 300 South Mahoney Dr. # C-1, Telluride, CO 81435 Phone: 970-728-1888 |