Individual
DR. WILLIAM B KRISSOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10051 LAKE AVE, SUITE 4, TRUCKEE, CA 96161-4825
(530) 582-0202
(530) 582-0206
Mailing address
10051 LAKE AVE, SUITE 4, TRUCKEE, CA 96161-4825
(530) 582-0202
(530) 582-0206
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
G26823
CA
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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