# ENVISION PHYSICIAN SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Preferred Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003282567
- **Authorized official:** MS. SHERIE STEWART STEWART (MANAGER)
- **Authorized official phone:** (801) 225-7971

## Contact information

- **Practice address:** 1345 W 1600 N, OREM, UT 84057-2431
- **Practice address phone:** (801) 317-8099
- **Mailing address:** 125 E MAIN ST, SUITE 121, AMERICAN FORK, UT 84003-2407
- **Mailing address phone:** (801) 225-7971

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 08/18/2015
- **Last updated:** 02/29/2020