ADVANCED FOOT & ANKLE LTD; NPI #1467654897

Contact Information

ADVANCED FOOT & ANKLE LTD

3667 REFLECTION DR
PRESCOTT, AZ 86305-7188

Phone: 928-530-3230
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgery, Foot & Ankle	213ES0103X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for ADVANCED FOOT & ANKLE LTD

NPI Number 1467654897

LBN Legal business name ADVANCED FOOT & ANKLE LTD

Authorized official RON OLSEN - (DOCTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/05/2007

Last updated 01/10/2025 - More than a year ago

Identifiers

AZ	Medicaid	159782
AZ	Other	1467654897	GROUP NPI
AZ	Other	1972510675	NPI FOR PROVIDER ONLY

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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ADVANCED FOOT & ANKLE LTD

Contact Information

Specialty

Surgery, Foot & Ankle

NPI Profile & details for ADVANCED FOOT & ANKLE LTD

Reviews for ADVANCED FOOT & ANKLE LTD