# STERLING PHYSICIAN GROUP PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487994430
- **Authorized official:** CORBIN BUNNAGE PA (MANAGER)
- **Authorized official phone:** (208) 542-9111

## Contact information

- **Practice address:** 740 S. WOODRUFF AVE, IDAHO FALLS, ID 83401
- **Practice address phone:** (208) 542-9111
- **Practice address fax:** (208) 542-9114
- **Mailing address:** 740 S. WOODRUFF AVE, IDAHO FALLS, ID 83401
- **Mailing address phone:** (208) 542-9111
- **Mailing address fax:** (208) 542-9114

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 02/27/2013
- **Last updated:** 03/17/2018