DR. Jared T Clegg, DPM

NPI #1588664759 in Provo, Utah

Provider Information

NPI Number: 1588664759
Entity Type: Individual
Name: DR. Jared T Clegg, DPM
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Podiatrist
Credential: DPM
Enumeration Date: Jul 28, 2005
Last Updated: Feb 10, 2016

Practice Location

Address: 1973 NORTH STATE STREET
City: Provo
State: Utah
ZIP Code: 84604-1012
Phone: (801) 373-2499

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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