BONFIRE REVENUE

MURRAY, UT
NPI1548032568
Entity TypeOrganization
Authorized ContactPRESTON BOUTSIS
Cmo
877-647-2455
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
Additional Taxonomies332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date2023-10-24
Last Update Date2023-10-24
Business Address
BONFIRE REVENUE
5547 S WALDEN GLEN DR
MURRAY, UT 84123-7942
Phone number: 877-647-2455
Mailing Address
BONFIRE REVENUE
8977 S 1300 W # 2046
WEST JORDAN, UT 84088-9274
Phone number: