Santa Rosa Sports Medicine, Incorporated
Santa Rosa Sports Medicine, Incorporated is a Sports Medicine (Family Medicine) Physician in Santa Rosa, California. Licensed in California. Registered with an NPI since 2008.
- Licensed in
- CA
- In the registry since
- 2008
Practice location Address checks out
1255 N Dutton AveSanta Rosa, CA 95401-4663
Phone: (707) 546-9400
Fax: (707) 546-9464
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Sports Medicine (Family Medicine) Physician (primary) | Taxonomy 207QS0010X · Licence G073843 (CA) |
|---|
Record details
| NPI number | 1952555740 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ty Affleck — President · (707) 546-9400 |
| Other names | Santa Rosa Sports And Family Medicine |
| NPI enumerated | November 6, 2008 |
| Last updated in NPPES | October 13, 2014 |
| Mailing address | 1255 N Dutton Ave, Santa Rosa, CA 95401-4663 |
Other providers in Santa Rosa
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Mr. Ty Preston Affleck, MD
1255 N Dutton Ave, Santa Rosa, CA 95401-4663 · (707) 546-9400
-
Dr. Ryan Jonathan Wei, MD
401 Bicentennial Way, Santa Rosa, CA 95403-2149 · (909) 896-8553