Leonard Michael Tyko in Santa Rosa - General Practice

Leonard Michael Tyko - NPI 1770626921

Leonard Michael Tyko is a General Practice in Santa Rosa, California. Leonard Michael Tyko practices all healthcare services and medical treatments related to General Practice. The NPI Number for Leonard Michael Tyko is 1770626921. The last update date is 2007-07-08.

Leonard Michael Tyko's current location address is 1174 Montgomery Dr, Santa Rosa, California. You can contact this provider via phone number 7075454625. The mailing address for Leonard Michael Tyko is 1174 Montgomery Dr, Santa Rosa, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Leonard Michael Tyko
Address 1174 Montgomery Dr, Santa Rosa, California
Phone Number 7075454625
Fax Number
Sole Proprietor Y
Credentials DDS, MD

NPI Number Detail

NPI Number 1770626921
Provider Enumeration Date 2007-02-15
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1174 Montgomery Dr
City Santa Rosa
State California (CA)
Post Code 954054818
Phone Number 7075454625
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 208D00000X
Licence No A71195
Definition:
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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FAQs about Leonard Michael Tyko

What is the Leonard Michael Tyko's 1770626921?

The Leonard Michael Tyko's NPI (National Provider Identifier) Number is 1770626921. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Where is the Leonard Michael Tyko located?

The Leonard Michael Tyko is located at 1174 Montgomery Dr, Santa Rosa, CA 954054818.

What is Leonard Michael Tyko's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Leonard Michael Tyko is General Practice, and the taxonomy code that categorizes this field of expertise is 208D00000X.

On what date was the 1770626921 assigned to Leonard Michael Tyko?

The Leonard Michael Tyko was issued its 1770626921 on 2007-02-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Leonard Michael Tyko, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Leonard Michael Tyko, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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