| Sterling Provider Group | |
|
1129 S Broadway Ave Boise ID 83706-3626 | |
| (208) 795-9790 | |
| (208) 795-9791 |
| Full Name | Sterling Provider Group |
|---|---|
| Speciality | Clinic/center - Urgent Care |
| Location | 1129 S Broadway Ave, Boise, Idaho |
| Authorized Official Name and Position | Corbin Bunnage (PROVIDER/OWNER) |
| Authorized Official Contact | 2085429111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sterling Provider Group 740 S Woodruff Ave Idaho Falls ID 83401-5285 Ph: (208) 542-9111 | Sterling Provider Group 1129 S Broadway Ave Boise ID 83706-3626 Ph: (208) 795-9790 |
| NPI Number | 1265287726 |
|---|---|
| Provider Enumeration Date | 04/18/2024 |
| Last Update Date | 07/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265287726 | NPI | - | NPPES |
| 13D2212497 | Other | ID | CLIA |
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