Organization
PNC PODIATRY OF ARIZONA PC
Active
Parent organization
PNC PODIATRY OF ARIZONA PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PNC PODIATRY OF ARIZONA PC
Authorized official
ALEXANDER REYZELMAN (CMO)
(415) 292-0638
Entity
Organization
Contact information
Practice address
5757 W THUNDERBIRD RD STE E-159, GLENDALE, AZ 85306-4641
(602) 843-9945
Mailing address
PO BOX 844167, LOS ANGELES, CA 90084-4167
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
03/27/2026
Last updated
03/27/2026
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