Organization
GHGB-I PLLC
Active
Other names
Copper State Vascular
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC L ECKHAUSER MD (VASCULAR SURGEON)
(480) 510-3079
Entity
Organization
Contact information
Practice address
535 E MCKELLIPS RD STE 111, MESA, AZ 85203-2525
(480) 510-3079
Mailing address
535 E MCKELLIPS RD STE 111, MESA, AZ 85203-2525
(480) 510-3079
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
06/08/2023
Last updated
06/12/2023
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