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Organization

DOUGLAS P PELLER DO LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DOUGLAS P PELLER D.O. (PHYSICIAN AND SURGEON)
(303) 920-1015
Entity
Organization

Contact information

Practice address
9141 GRANT ST, SUITE 240, THORNTON, CO 80229-4374
(303) 920-1015
(303) 252-1437
Mailing address
9141 GRANT ST, SUITE 240, THORNTON, CO 80229-4374
(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
02/28/2007
Last updated
06/08/2016
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