# DOUGLAS P PELLER DO LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871620682
- **Authorized official:** DR. DOUGLAS P PELLER D.O. (PHYSICIAN AND SURGEON)
- **Authorized official phone:** (303) 920-1015

## Contact information

- **Practice address:** 9141 GRANT ST, SUITE 240, THORNTON, CO 80229-4374
- **Practice address phone:** (303) 920-1015
- **Practice address fax:** (303) 252-1437
- **Mailing address:** 9141 GRANT ST, SUITE 240, THORNTON, CO 80229-4374
- **Mailing address phone:** (303) 920-1015
- **Mailing address fax:** (303) 252-1437

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | 37826 | CO | Yes |

## Other

- **Enumeration date:** 02/28/2007
- **Last updated:** 06/08/2016