OrganizationActive
Ghgb-I PLLC
NPI 1639863863 · Vascular & Interventional Radiology Physician · Mesa, AZ
Provider details
- NPI number
- 1639863863
- Entity type
- Organization
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Marc Eckhauser, Vascular Surgeon(480) 510-3079
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
535 E Mckellips Rd Ste 111
Mesa, AZ 85203-2525
Phone: (480) 510-3079
Approximate (ZIP-level) locationGet directions
Mailing address
535 E Mckellips Rd Ste 111
Mesa, AZ 85203-2525
Other names (DBA / former)
- Doing business as
- Copper State Vascular
Registry dates
- Enumerated
- 2023-06-08
- Last updated
- 2023-06-12
- Certified
- 2023-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.