Organization
ADVANCED WOUND CARE OF ARIZONA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RON OLSEN (PRESIDENT/CEO)
(928) 530-3230
Entity
Organization
Contact information
Practice address
3667 REFLECTION DR, PRESCOTT, AZ 86305-7188
(928) 530-3230
Mailing address
3667 REFLECTION DR, PRESCOTT, AZ 86305-7188
(928) 530-3230
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/28/2024
Last updated
04/30/2026
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