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Individual

DR. DOUGLAS PAUL PELLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
9141 GRANT STREET, SUITE 240, THORNTON, CO 80229
(303) 920-1015
(303) 252-1437
Mailing address
9141 GRANT STREET, SUITE 240, SUITE 240, THORNTON, CO 80229
(303) 920-1015
(303) 252-1437

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
63286271
CO
Enumeration date
02/07/2007
Last updated
02/02/2023
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