ProviderBusinessMailingAddressFaxNumber = '4802223422'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1477587335
UNIVERSITY SPORTS MEDICINE PC
15810 S 45TH ST STE 101
PHOENIX
AZ
850487695
1487626958
MCLEOD
IAN
ALLEN
15810 S 45TH ST
PHOENIX
AZ
850487694
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