Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TY PRESTON AFFLECK, MD
ActiveMR. TY PRESTON AFFLECK, MD is a Sports Medicine healthcare provider located in SANTA ROSA, California. NPI 1306941083 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · SANTA ROSA, CA
Registration Details
- NPI Number
- 1306941083
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 14, 2006 (19.871506577851 yrs)
- Last Updated
- May 11, 2009
- License
-
G073843 (CA)
Practice Information
- Address
-
1255 N DUTTON AVESANTA ROSA, CA, 954014663Browse CA providers · Browse ZIP 95401
- Phone
- 7075469400
- Fax
- 7075469464
- Primary Specialty
-
Sports Medicine
207QS0010X
Other Sports Medicine Providers in SANTA ROSA, CA
| Name | Credential | NPI |
|---|---|---|
| DANIEL GONZALEZ | MD, MPH | 1861998650 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.