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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
207XS0106X
Orthopaedic Hand Surgery Physician
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
207XS0117X
Orthopaedic Surgery of the Spine Physician
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
207XX0801X
Orthopaedic Trauma Physician
363A00000X
Physician Assistant

Other

Enumeration date
07/06/2022
Last updated
07/25/2022
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