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Organization
STERLING PROVIDER GROUP
Active
Organization
STERLING PROVIDER GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORBIN BUNNAGE PA-C (PROVIDER/OWNER)
(208) 542-9111
Entity
Organization
Contact information
Practice address
1307 HARRISON AVE, BUTTE, MT 59701-4801
(406) 479-5092
(406) 479-5093
Mailing address
740 S WOODRUFF AVE, IDAHO FALLS, ID 83401-5285
(208) 542-9111
(208) 542-9114
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
NULL
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
261QX0100X
Occupational Medicine Clinic/Center
—
NULL
Other
Enumeration date
08/06/2022
Last updated
12/28/2024
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