# PNC MSK, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sonoma County Orthopedic and Podiatric Specialists
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770216855
- **Authorized official:** ROZANA REYZELMAN (REGIONAL DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (415) 680-0871

## Contact information

- **Practice address:** 3536 MENDOCINO AVE STE 300B, SANTA ROSA, CA 95403-3634
- **Practice address phone:** (707) 237-3410
- **Mailing address:** 2299 POST ST STE 205, SAN FRANCISCO, CA 94115-3473
- **Mailing address phone:** (415) 680-0871
- **Mailing address fax:** (800) 808-1779

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 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