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Organization

BELLINGHAM UROLOGY GROUP, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN M PETTIT MD (OWNER)
(360) 714-3400
Entity
Organization

Contact information

Practice address
340 BIRCHWOOD AVE, BELLINGHAM, WA 98225-1782
(360) 714-3400
(360) 714-3402
Mailing address
340 BIRCHWOOD AVE, BELLINGHAM, WA 98225-1782
(360) 714-3400
(360) 714-3402

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
603455361
WA

Other

Enumeration date
06/04/2015
Last updated
09/15/2015
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