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Organization
ENVISION PHYSICIAN SERVICES LLC
Active
Organization
ENVISION PHYSICIAN SERVICES LLC
Active
Other names
Preferred Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHERIE STEWART STEWART (MANAGER)
(801) 225-7971
Entity
Organization
Contact information
Practice address
1345 W 1600 N, OREM, UT 84057-2431
(801) 317-8099
Mailing address
125 E MAIN ST, SUITE 121, AMERICAN FORK, UT 84003-2407
(801) 225-7971
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
08/18/2015
Last updated
02/29/2020
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