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Individual

WILLIAM T. PROSSER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
4150 V ST, PSSB-SUITE 1200, MED: ANESTHESIA, SACRAMENTO, CA 95817-1460
(916) 734-7985
(916) 734-2975
Mailing address
4150 V ST, PSSB-SUITE 1200, MED: ANESTHESIA, SACRAMENTO, CA 95817-1460
(916) 734-7985
(916) 734-2975

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
421995/2277 RN/CRNA
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
006406
PHYSICIAN INDEX #
CA
Enumeration date
12/15/2005
Last updated
11/22/2013
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