WILLIAM B KRISSOFF MD INC
Medical Practice at Lake Ave, Truckee, CA

License number
California G26823
Category
Medical Practice
Type
Specialist
Owner
Name: CHRISTINE M KRISSOFF
Title: OFFICE MANAGER
Phone: (530) 582-0202
Address
Address
10051 Lake Ave STE 4, Truckee, CA 96161
National Provider ID: 1821159781
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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WILLIAM B. KRISSOFF, M.D., INC

10051 Lk Ave STE 4, Truckee, CA 96161

Status:
Inactive
Registration:
Sep 30, 1980
State ID:
C1003882
Business type:
Articles of Incorporation
President:
William B. Krissoff President, inactive
Agent:
William Chessman,Sacramento, CA 95827 (Physical)

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