# BUCKEYE SOUTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Buckeye Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780292110
- **Authorized official:** ISABEL MARQUEZ RN (CLINICAL DIRECTOR)
- **Authorized official phone:** (210) 571-2399

## Contact information

- **Practice address:** 23480 N. SUNDANCE PKWY W., SUITE 106, BUCKEYE, AZ 85326-3106
- **Practice address phone:** (623) 250-4800
- **Practice address fax:** (623) 248-1204
- **Mailing address:** 23480 N. SUNDANCE PKWY W., SUITE 106, BUCKEYE, AZ 85326-1117
- **Mailing address phone:** (623) 250-4800

## Taxonomy

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

## Other

- **Enumeration date:** 07/22/2020
- **Last updated:** 08/20/2024