# ADVANCED FOOT & ANKLE LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467654897
- **Authorized official:** RON ANTHON OLSEN D.P.M. (DOCTOR)
- **Authorized official phone:** (928) 530-3230

## Contact information

- **Practice address:** 3667 REFLECTION DR, PRESCOTT, AZ 86305-7188
- **Practice address phone:** (928) 530-3230
- **Mailing address:** PO BOX 10634, PRESCOTT, AZ 86304-0634
- **Mailing address phone:** (928) 530-3230

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 06/05/2007
- **Last updated:** 01/10/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1467654897 | GROUP NPI | AZ |
| 05 | — | 159782 | — | AZ |
| 01 | — | 1972510675 | NPI FOR PROVIDER ONLY | AZ |