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Organization
PNC PODIATRY OF ARIZONA PC
Active
Organization
PNC PODIATRY OF ARIZONA PC
Active
Other names
DESERT FOOT & ANKLE
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER REYZELMAN (CMO)
(415) 292-0638
Entity
Organization
Contact information
Practice address
1520 S DOBSON RD STE 312, MESA, AZ 85202-4700
(480) 844-8218
(480) 844-8218
Mailing address
PO BOX 32183, BELFAST, ME 04915-0199
(415) 645-4525
(510) 399-1364
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
—
NULL
213E00000X
Podiatrist
—
—
213ES0000X
Sports Medicine Podiatrist
—
NULL
213ES0000X
Sports Medicine Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
213ES0131X
Foot Surgery Podiatrist
—
NULL
213ES0131X
Foot Surgery Podiatrist
—
—
2251X0800X
Orthopedic Physical Therapist
—
NULL
2251X0800X
Orthopedic Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
NULL
225200000X
Physical Therapy Assistant
—
—
Other
Enumeration date
02/24/2022
Last updated
12/02/2025
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