Bonfire Revenue
Bonfire Revenue is a Clinic/Center in Murray, Utah. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
5547 S Walden Glen DrMurray, UT 84123-7942
Phone: (877) 647-2455
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X |
|---|---|
| Durable Medical Equipment & Medical Supplies | Taxonomy 332B00000X |
Record details
| NPI number | 1548032568 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Preston Boutsis — Cmo · (877) 647-2455 |
| NPI enumerated | October 24, 2023 |
| Last updated in NPPES | October 24, 2023 |
| Certification date | October 24, 2023 |
| Mailing address | 8977 S 1300 W # 2046, West Jordan, UT 84088-9274 |
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