# PNC PODIATRY OF ARIZONA PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** DESERT FOOT & ANKLE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063168359
- **Authorized official:** ALEXANDER REYZELMAN (CMO)
- **Authorized official phone:** (415) 292-0638

## Contact information

- **Practice address:** 1520 S DOBSON RD STE 312, MESA, AZ 85202-4700
- **Practice address phone:** (480) 844-8218
- **Practice address fax:** (480) 844-8218
- **Mailing address:** PO BOX 32183, BELFAST, ME 04915-0199
- **Mailing address phone:** (415) 645-4525
- **Mailing address fax:** (510) 399-1364

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213E00000X | Podiatrist | — | NULL | — |
| 213E00000X | Podiatrist | — | — | — |
| 213ES0000X | Sports Medicine Podiatrist | — | NULL | — |
| 213ES0000X | Sports Medicine Podiatrist | — | — | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |
| 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