Organization
WESTERN PA SURGERY CENTER, BEAVER COUNTY BRANCH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN BUTERBAUGH (MEDICAL DIRECTOR)
(724) 933-3850
Entity
Organization
Contact information
Practice address
103 PLEASANT DR, ALIQUIPPA, PA 15001-1333
(724) 933-3810
Mailing address
6001 STONEWOOD DR, WEXFORD, PA 15090-7380
(724) 933-3810
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/12/2020
Last updated
07/23/2024
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