Individual
JORDAN ELLIOTT GENUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2950 SQUALICUM PKWY, SUITE B, BELLINGHAM, WA 98225-1857
(360) 788-6063
Mailing address
1115 SE 164TH AVE, DEPT. 358, VANCOUVER, WA 98683-9324
(877) 202-3597
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
MD60463058
WA
Other
Enumeration date
06/19/2009
Last updated
07/16/2014
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