Individual
ALEX MAURICE DUSSAQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A179458
CA
2083C0008X
Clinical Informatics Physician
A179458
CA
Other
Enumeration date
03/29/2019
Last updated
07/02/2025
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