Organization
ADVANCED FOOT & ANKLE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RON ANTHON OLSEN D.P.M. (DOCTOR)
(928) 530-3230
Entity
Organization
Contact information
Practice address
3667 REFLECTION DR, PRESCOTT, AZ 86305-7188
(928) 530-3230
Mailing address
PO BOX 10634, PRESCOTT, AZ 86304-0634
(928) 530-3230
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467654897
GROUP NPI
AZ
05
—
159782
—
AZ
01
—
1972510675
NPI FOR PROVIDER ONLY
AZ
Enumeration date
06/05/2007
Last updated
01/10/2025
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