# PNC MSK, PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PNC MSK, PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1871329375
- **Legal business name:** PNC MSK, PC
- **Authorized official:** ALEXANDER REYZELMAN DPM (RCMO)
- **Authorized official phone:** (415) 292-0638

## Contact information

- **Practice address:** 172 WASHINGTON AVE STE A, UKIAH, CA 95482-6319
- **Practice address phone:** (707) 462-4136
- **Practice address fax:** (310) 791-1087
- **Mailing address:** PO BOX 33445, BELFAST, ME 04915-0612
- **Mailing address phone:** (415) 645-4525
- **Mailing address fax:** (510) 399-1364

## Taxonomy

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

## Other

- **Enumeration date:** 09/11/2024
- **Last updated:** 09/11/2024