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Organization
PNC MSK, PC
Active
Organization
PNC MSK, PC
Active
Other names
Sonoma County Orthopedic and Podiatric Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
ROZANA REYZELMAN (REGIONAL DIRECTOR OF OPERATIONS)
(415) 680-0871
Entity
Organization
Contact information
Practice address
3536 MENDOCINO AVE STE 300B, SANTA ROSA, CA 95403-3634
(707) 237-3410
Mailing address
2299 POST ST STE 205, SAN FRANCISCO, CA 94115-3473
(415) 680-0871
(800) 808-1779
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
NULL
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
NULL
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
NULL
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
NULL
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
NULL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
207XX0801X
Orthopaedic Trauma Physician
—
NULL
207XX0801X
Orthopaedic Trauma Physician
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
Other
Enumeration date
07/06/2022
Last updated
07/25/2022
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