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Organization
CASCADE FOOT AND ANKLE CLINIC PC
Active
Organization
CASCADE FOOT AND ANKLE CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARED T CLEGG DPM (OWNER-SOLE PHYSICIAN)
(801) 373-2499
Entity
Organization
Contact information
Practice address
1973 N STATE ST, PROVO, UT 84604-5711
(801) 373-2499
Mailing address
1973 N STATE ST, PROVO, UT 84604-1012
(801) 373-2499
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
3709460501
UT
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528217084001
—
UT
Enumeration date
02/28/2007
Last updated
02/25/2026
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