| NPI | 1639863863 |
|---|---|
| Doing Business As | COPPER STATE VASCULAR |
| Entity Type | Organization |
| Authorized Contact | MARC L ECKHAUSER Vascular Surgeon 480-510-3079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Enumeration Date | 2023-06-08 |
| Last Update Date | 2023-06-12 |