Organization
BONAVISTA FAMILY MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA STEPHENS PA-C (OWNER)
(801) 814-6263
Entity
Organization
Contact information
Practice address
778 E 700 S, CLEARFIELD, UT 84015-1204
(385) 370-6716
Mailing address
778 E 700 S, CLEARFIELD, UT 84015-1204
(385) 370-6716
(866) 493-3228
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/10/2023
Last updated
06/23/2025
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