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Carol Callicotte-belmon

  • Female

Medical Specialty

Professional ID

  • NPI: 1760831861
  • PECOS ID: 0840587382
  • Enrollment ID: I20160927000778
  • Credential(MD, DO, DPM):
  • Medical School:
  • Medical School Graduation Year: 2001

Medical Practices

  • Organization Name: Peak Form Professional Llc
  • Group Practice ID assigned by PECOS: 1052212495
  • Number of Group Practice member: 9

Location

  • Address1: 1093 E Bridge St
  • Address2: Peak Form Physical Therapy
  • City: Brighton
  • State: Colorado
  • Zip Code: 80601
  • Phone Number: (303)655-9005

Location

  • Address1: 805 S Broadway
  • Address2: Suite 201
  • City: Boulder
  • State: Colorado
  • Zip Code: 80305
  • Phone Number: (303)402-9283

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS):
  • Used Electronic health record (EHR):