BONAVISTA FAMILY MEDICINE PLLC NPI 1821879594

NPI Details

BONAVISTA FAMILY MEDICINE PLLC is a physician assistant in Morgan, UT. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. BONAVISTA FAMILY MEDICINE PLLC NPI is 1821879594. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

103 N COMMERCIAL ST STE 205
MORGAN, UT
ZIP 84050-929
Phone: (801) 814-6263

The provider's authorized official is Lisa Stephens .
The authorized official title is Owner and has the following contact phone number (801) 814-6263.

The CLIA number assigned to this NPI record is 46D2291613 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/10/2023 and was last updated on 10/10/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: