Individual
CLARISSA DOI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 PASTEUR DR, HC435, STANFORD, CA 94305-2200
(650) 493-5000
Mailing address
300 PASTEUR DR, HC435, STANFORD, CA 94305-2200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A120758
CA
Other
Enumeration date
06/30/2009
Last updated
12/15/2021
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