Individual
IAN ALLEN MCLEOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, ATC, NCTMB
Contact information
Practice address
15810 S 45TH ST, SUITE 101, PHOENIX, AZ 85048-7694
(480) 222-3384
(480) 222-3422
Mailing address
15810 S 45TH ST, SUITE 101, PHOENIX, AZ 85048-7694
(480) 222-3384
(480) 222-3422
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
0364
AZ
363A00000X
Physician Assistant
Primary
4246
AZ
Other
Enumeration date
02/07/2006
Last updated
10/05/2008
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