Provider Demographics
NPI:1528231743
Name:BOYD, SCOTT DEXTER (MD, PHD)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:DEXTER
Last Name:BOYD
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 PASTEUR DR. STANFORD MEDICAL CENTER
Mailing Address - Street 2:DEPARTMENT OF PATHOLOGY, ROOM L235
Mailing Address - City:STANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:94305-2297
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:300 PASTEUR DR. STANFORD MEDICAL CENTER
Practice Address - Street 2:DEPARTMENT OF PATHOLOGY, ROOM L235
Practice Address - City:STANFORD
Practice Address - State:CA
Practice Address - Zip Code:94305-2297
Practice Address - Country:US
Practice Address - Phone:650-723-7211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-09
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA97205207ZC0006X, 207ZP0102X, 207ZH0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZC0006XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology
No207ZH0000XAllopathic & Osteopathic PhysiciansPathologyHematology