# GHGB-I PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Copper State Vascular
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639863863
- **Authorized official:** DR. MARC L ECKHAUSER MD (VASCULAR SURGEON)
- **Authorized official phone:** (480) 510-3079

## Contact information

- **Practice address:** 535 E MCKELLIPS RD STE 111, MESA, AZ 85203-2525
- **Practice address phone:** (480) 510-3079
- **Mailing address:** 535 E MCKELLIPS RD STE 111, MESA, AZ 85203-2525
- **Mailing address phone:** (480) 510-3079

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/08/2023
- **Last updated:** 06/12/2023