Individual
DR. MARC LEWIS ECKHAUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15571 N REEMS RD, SURPRISE, AZ 85374-9584
(623) 544-6932
(623) 321-1070
Mailing address
15571 N REEMS RD, SURPRISE, AZ 85374-9584
(623) 544-6932
(623) 321-1070
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
30602
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
714247
—
AZ
Enumeration date
07/26/2005
Last updated
09/06/2013
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