Most Relevant Information
Provider Data
| NPI Number: | 1003261660 |
| Provider Name: | CRYSTAL LEE MACKALL MD |
| Entity Type: | Individual |
| Taxonomy Code: | 208000000X |
| Specialty: | Pediatrics |
| License Number: | C140084 |
Most Important Dates
| Enumeration Date: | 05/02/2016 |
| Last Updated: | 04/16/2024 |
Provider Practice Location
725 WELCH RD
PALO ALTO
CA
943041601
Practice Location Phone/Fax
| Phone: | 6504978000 |
| Fax: |
Provider Mailing Location
265 CAMPUS DR
G3141A, MC5456
STANFORD
CA
943055101
Provider Mailing Phone/Fax
| Phone: | 6507252553 |
| Fax: |
Suggested EMR
Pediatrics EMR