| Sterling Provider Group | |
|
1404 Pomerelle Ave Ste A1 Burley ID 83318-2013 | |
| (208) 878-8783 | |
| (208) 878-8786 |
| Full Name | Sterling Provider Group |
|---|---|
| Speciality | Clinic/center - Urgent Care |
| Location | 1404 Pomerelle Ave Ste A1, Burley, 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 1404 Pomerelle Ave Ste A1 Burley ID 83318-2013 Ph: (208) 878-8783 |
| NPI Number | 1659915593 |
|---|---|
| Provider Enumeration Date | 11/04/2019 |
| Last Update Date | 07/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659915593 | NPI | - | NPPES |
| 13D2099992 | Other | ID | CLIA |
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