| NPI | 1528757507 |
|---|---|
| Doing Business As | BONFIRE CHIROPRACTIC |
| Doing Business As | BONFIRE CHIROPRACTIC PLLC |
| Entity Type | Organization |
| Authorized Contact | RYAN B WEED Member 208-266-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2023-05-04 |
| Last Update Date | 2023-05-04 |