Organization
PNC MSK, PC
Active
Parent organization
PNC MSK, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PNC MSK, PC
Authorized official
ALEXANDER REYZELMAN DPM (RCMO)
(415) 292-0638
Entity
Organization
Contact information
Practice address
172 WASHINGTON AVE STE A, UKIAH, CA 95482-6319
(707) 462-4136
(310) 791-1087
Mailing address
PO BOX 33445, BELFAST, ME 04915-0612
(415) 645-4525
(510) 399-1364
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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