Individual provider · NPI-1

Dylan Dodd, MD

Pathology, Anatomic Pathology & Clinical Pathology · Stanford, CA

NPI number1124464300
StatusActive
Last updated in NPPESMar 13, 2024

Details

NPI
1124464300
Entity type
Individual (NPI-1)
Name
Dylan Dodd
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
May 15, 2013
Certification date
Mar 13, 2024
Last updated
Mar 13, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207ZP0102X Pathology, Anatomic Pathology & Clinical PathologyA131932CAYes
207ZC0006X Pathology, Clinical PathologyA131932CA
207ZP0101X Pathology, Anatomic PathologyA131932CA

Practice location

300 Pasteur Dr
Stanford, CA 94305-2200

Phone 650-723-4000

Mailing address

300 Pasteur Dr Rm L235
Stanford, CA 94305-2200

Phone 217-778-6475

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