Organization
WESTGATE SURGERY CENTER, LLC
Active
Other names
Westgate Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC BOON (OFFICER / AUTHORIZED OFFICIAL)
(480) 567-0269
Entity
Organization
Contact information
Practice address
7330 N 99TH AVE STE 100, GLENDALE, AZ 85307-3016
(623) 888-5500
(623) 888-5519
Mailing address
14201 DALLAS PKWY, DALLAS, TX 75254-2916
(972) 763-3859
(972) 920-3445
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/03/2019
Last updated
10/24/2024
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