# PNC PODIATRY OF ARIZONA PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PNC PODIATRY OF ARIZONA PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1932048683
- **Legal business name:** PNC PODIATRY OF ARIZONA PC
- **Authorized official:** ALEXANDER REYZELMAN (CMO)
- **Authorized official phone:** (415) 292-0638

## Contact information

- **Practice address:** 5757 W THUNDERBIRD RD STE E-159, GLENDALE, AZ 85306-4641
- **Practice address phone:** (602) 843-9945
- **Mailing address:** PO BOX 844167, LOS ANGELES, CA 90084-4167

## 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:** 03/27/2026
- **Last updated:** 03/27/2026