# DESERT FOOT & ANKLE P C

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DESERT FOOT & ANKLE P C
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1437987237
- **Legal business name:** DESERT FOOT & ANKLE P C
- **Authorized official:** ALEXANDER REYZELMAN DPM (RCMO)
- **Authorized official phone:** (415) 292-0638

## Contact information

- **Practice address:** 15601 N 28TH AVE STE 102, PHOENIX, AZ 85053-4061
- **Practice address phone:** (480) 844-8218
- **Practice address fax:** (480) 844-9950
- **Mailing address:** PO BOX 32611, BELFAST, ME 04915-0219
- **Mailing address phone:** (415) 645-4525
- **Mailing address fax:** (510) 399-1364

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213E00000X | Podiatrist | — | NULL | — |
| 213E00000X | Podiatrist | — | — | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 07/23/2024
- **Last updated:** 07/23/2024