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Organization

CASCADE FOOT AND ANKLE CLINIC PC

Active
Parent organization
CASCADE FOOT AND ANKLE PC
Other names
JARED T CLEGG DPM
Organization subpart
Yes

Provider details

NPI number
Legal business name
CASCADE FOOT AND ANKLE PC
Authorized official
JARED T CLEGG DPM (OWNER)
(801) 373-2499
Entity
Organization

Contact information

Practice address
1973 NORTH STATE ST, PROVO, UT 84604-5711
(801) 373-2499
(801) 373-5200
Mailing address
1973 NORTH STATE ST, PROVO, UT 84604-5711
(801) 373-2499
(801) 373-5200

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary

Other

Enumeration date
03/29/2012
Last updated
05/28/2015
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