Ty Affleck, MD

NPI 1306941083 · on the registry since 2006

Practice

Address: 1255 N Dutton Ave
Santa Rosa, CA 95401
Phone: (707) 546-9400
Fax: (707) 546-9464
Organisation at this address: Parkview Podiatry
Santa Rosa Sports Medicine, Incorporated
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 207QS0010X
207QS0010X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2009-05-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California