Organization · Type 2 NPI
Bonfire Revenue
Clinic/Center · Murray, UT
NPI number
1548032568
Active
Practice location
5547 S Walden Glen Dr
Murray, UT 84123-7942
Mailing address
8977 S 1300 W # 2046
West Jordan, UT 84088-9274
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
| Durable Medical Equipment & Medical Supplies | 332B00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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About NPI 1548032568
Bonfire Revenue's National Provider Identifier is 1548032568, issued on Oct 24, 2023. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Murray, UT. The record was last updated on Oct 24, 2023.