# WEST PHOENIX SURGICAL CENTER LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255991717
- **Authorized official:** JEREMY BUCKNER DC (SOLE MEMBER)
- **Authorized official phone:** (480) 930-4018

## Contact information

- **Practice address:** 9250 W THOMAS RD STE 220, PHOENIX, AZ 85037-3382
- **Practice address phone:** (480) 930-4018
- **Mailing address:** 4765 S LAKESHORE DR, TEMPE, AZ 85282-7197

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/17/2019
- **Last updated:** 06/17/2019