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Bonfire Revenue — NPI 1548032568, Murray, UT | NPI Central

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NPI 1548032568

OrganizationActive

Bonfire Revenue

NPI 1548032568 · Clinic/Center · Murray, UT

Provider details

NPI number: 1548032568
Entity type: Organization
Primary specialty: Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Preston Boutsis, Cmo(877) 647-2455

Specialties & taxonomies

Clinic/CenterPrimary261Q00000X
Ambulatory Health Care Facilities
Durable Medical Equipment & Medical Supplies332B00000X
Suppliers

Practice location

5547 S Walden Glen Dr

Murray, UT 84123-7942

Phone: (877) 647-2455

Approximate (ZIP-level) locationGet directions

More UT providers

Mailing address

8977 S 1300 W # 2046

West Jordan, UT 84088-9274

Registry dates

Enumerated: 2023-10-24
Last updated: 2023-10-24
Certified: 2023-10-24

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.