| NPI | 1952555740 |
|---|---|
| Other Name | SANTA ROSA SPORTS AND FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | TY PRESTON AFFLECK President 707-546-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: CA G073843) |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2014-10-13 |