| Organization Name: | ADVANCED ANKLE AND FOOT CENTER, LLC |
| NPI Number: | 1285071704 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JENNIFER JONES (BILLING ADMINISTRATOR) |
| Mailing Address: | 600 N Pickaway St Ste 107 Medical Office Building Circleville |
| State: | OH US |
| Postal Code: | 431131447 |
| Phone Number: | 7403023668 |
| Fax Number: | 6147927615 |
| NPI Enumeration Date: | 05/23/2013 |
| NPI Last Update Date: | 11/01/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |