| NPI | 1942338496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARED T CLEGG Owner Sole Physician 801-373-2499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: UT 3709460501) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2016-06-13 |