Individual
DOUGLAS R PECHETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
28000 MEADOW DR, #1, EVERGREEN, CO 80439-8395
(303) 674-7477
(303) 670-0443
Mailing address
28000 MEADOW DR, #1, EVERGREEN, CO 80439-8395
(303) 674-7477
(303) 670-0443
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
28615
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01286152
—
CO
01
—
5502AMPR008177
BLUE CROSS
CO
Enumeration date
05/23/2006
Last updated
10/04/2007
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