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Organization
PNC PODIATRY OF WASHINGTON PLLC
Active
Organization
PNC PODIATRY OF WASHINGTON PLLC
Active
Parent organization
PNC PODIATRY OF WASHINGTON PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PNC PODIATRY OF WASHINGTON PLLC
Authorized official
ALEXANDER REYZELMAN (CMO)
(415) 292-0638
Entity
Organization
Contact information
Practice address
1311 E DIVISION ST, MOUNT VERNON, WA 98274-4134
(360) 424-0002
Mailing address
PO BOX 843324, LOS ANGELES, CA 90084-3324
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Enumeration date
09/15/2026
Last updated
09/15/2026
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