Individual
DR. ALEXANDER THOMAS MAZAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 PASTEUR DR STE H1330, STANFORD, CA 94305-2296
(650) 497-5415
Mailing address
300 PASTEUR DR STE H1330, STANFORD, CA 94305-2296
(650) 497-5415
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
BP10071458
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740804285
—
TX
Enumeration date
06/01/2020
Last updated
06/29/2021
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