Organization
CASCADE UROLOGY SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MARK PETTIT M.D. (OWNER)
(360) 676-2749
Entity
Organization
Contact information
Practice address
340 BIRCHWOOD AVE, BELLINGHAM, WA 98225-1782
(360) 676-2749
(360) 676-7730
Mailing address
340 BIRCHWOOD AVE, BELLINGHAM, WA 98225-1782
(360) 676-2749
(360) 676-7730
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7108632
—
WA
Enumeration date
02/01/2007
Last updated
11/30/2007
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