# BELLINGHAM UROLOGY SPECIALISTS PLLC

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

## Provider details

- **NPI number:** 1467537951
- **Authorized official:** DR. JOHN MARK PETTIT MD (OWNER DOCTOR)
- **Authorized official phone:** (360) 671-9197

## Contact information

- **Practice address:** 340 BIRCHWOOD AVE, BELLINGHAM, WA 98225-1782
- **Practice address phone:** (360) 671-9197
- **Practice address fax:** (360) 676-7730
- **Mailing address:** 340 BIRCHWOOD AVE, BELLINGHAM, WA 98225-1782
- **Mailing address phone:** (360) 671-9197
- **Mailing address fax:** (360) 676-7730

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | WA | Yes |

## Other

- **Enumeration date:** 10/25/2006
- **Last updated:** 11/19/2007