Organization
BELLINGHAM UROLOGY GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MARK PETTIT MD (OWNER)
(360) 714-3400
Entity
Organization
Contact information
Practice address
340 BIRCHWOOD AVE, BELLINGHAM, WA 98225
(360) 647-1601
Mailing address
340 BIRCHWOOD AVE, BELLINGHAM, WA 98225-1782
(360) 714-3400
(360) 714-3402
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD00024911
WA
Other
Enumeration date
12/03/2014
Last updated
08/15/2018
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