Active NPIOrganization

Pnc Podiatry Of Arizona PC

Podiatrist, Foot & Ankle Surgery in Mesa, Arizona

NPI Number1063168359
Practice location
1520 S Dobson RD Ste 312, Mesa, AZ 85202-4700
Fax
480-844-8218
Last updated
December 2, 2025

Pnc Podiatry Of Arizona PC is a healthcare organization based in Mesa, AZ. Pnc Podiatry Of Arizona PC practices in Mesa, AZ. The NPI Number for Pnc Podiatry Of Arizona PC is 1063168359. The current practice location address for Pnc Podiatry Of Arizona PC is 1520 S Dobson RD Ste 312, Mesa, AZ 85202-4700 and can be reached out via phone at 480-844-8218 and via fax at 480-844-8218.

Provider Profile Details

NPI Number
1063168359
Provider Name
Pnc Podiatry Of Arizona PC
Provider Entity Type
Organization
Address
1520 S Dobson RD Ste 312, Mesa, AZ 85202-4700
Phone Number
480-844-8218
Fax Number
480-844-8218
Primary Taxonomy
Podiatrist, Foot & Ankle Surgery · 213ES0103X
Organization Subpart
No
Authorized Official
Alexander Reyzelman · Cmo · 415-292-0638
Other Names
Desert Foot & Ankle (Doing Business As)
Provider Enumeration Date
February 24, 2022
Last Update Date
December 2, 2025
Certification Date
December 2, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
1520 S Dobson RD Ste 312
Mesa, AZ 85202-4700
City
Mesa
State
Arizona
Zip
85202-4700
Phone Number
480-844-8218
Fax Number
480-844-8218
Mesa, AZ 85202Get directions →

Provider Business Mailing Address Details

Address
Po Box 32183
Belfast, ME 04915-0199
City
Belfast
State
ME
Zip
04915-0199
Phone Number
415-645-4525
Fax Number
510-399-1364

License Information

Taxonomy (1)
Podiatrist · 213E00000X
Taxonomy (2)
Physical Therapy Assistant · 225200000X
Taxonomy (3)
Podiatrist, Sports Medicine · 213ES0000X
Taxonomy (4)
Physical Therapist, Orthopedic · 2251X0800X
Taxonomy (5)
· 213ES0131X
Taxonomy (6)
Podiatrist, Foot & Ankle Surgery · 213ES0103X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Pnc Podiatry Of Arizona PC?

The NPI number of Pnc Podiatry Of Arizona PC is 1063168359. It was assigned on February 24, 2022 and is currently active in the NPPES registry.

What is the specialty of Pnc Podiatry Of Arizona PC?

Pnc Podiatry Of Arizona PC is registered under the primary taxonomy Podiatrist, Foot & Ankle Surgery (code 213ES0103X).

Where does Pnc Podiatry Of Arizona PC practice?

The practice location is 1520 S Dobson RD Ste 312, Mesa, AZ 85202-4700. The office can be reached at 480-844-8218 (phone) or 480-844-8218 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063168359 directly on the NPPES registry website.

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