Individual provider · Type 1 NPI

Jordan Elliott Genut, MD

Vascular Surgery Physician · Bellingham, WA

NPI number 1285861005 Active

Practice location

2950 Squalicum Pkwy, Suite B
Bellingham, WA 98225-1857

Mailing address

1115 SE 164th Ave, Dept. 358
Vancouver, WA 98683-9324

Specialties and licenses

TaxonomyCodeLicense
Vascular Surgery Physician Primary 2086S0129XMD60463058 (WA)

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

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About NPI 1285861005

Jordan Elliott Genut, MD's National Provider Identifier is 1285861005, issued on Jun 19, 2009. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Bellingham, WA. The record was last updated on Jul 16, 2014.