OrganizationActive
Bonavista Family Medicine PLLC
NPI 1821879594 · Physician Assistant · Clearfield, UT
Provider details
- NPI number
- 1821879594
- Entity type
- Organization
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Lisa Stephens, Owner(801) 814-6263
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
778 E 700 S
Clearfield, UT 84015-1204
Phone: (385) 370-6716
Approximate (ZIP-level) locationGet directions
Mailing address
778 E 700 S
Clearfield, UT 84015-1204
Registry dates
- Enumerated
- 2023-10-10
- Last updated
- 2025-06-23
- Certified
- 2025-06-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.