# WESTERN PA SURGERY CENTER, BEAVER COUNTY BRANCH, LLC

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

## Provider details

- **NPI number:** 1568060655
- **Authorized official:** DR. GLENN BUTERBAUGH (MEDICAL DIRECTOR)
- **Authorized official phone:** (724) 933-3850

## Contact information

- **Practice address:** 103 PLEASANT DR, ALIQUIPPA, PA 15001-1333
- **Practice address phone:** (724) 933-3810
- **Mailing address:** 6001 STONEWOOD DR, WEXFORD, PA 15090-7380
- **Mailing address phone:** (724) 933-3810

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/12/2020
- **Last updated:** 07/23/2024