Organization
STERLING PHYSICIAN GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORBIN BUNNAGE PA (MANAGER)
(208) 542-9111
Entity
Organization
Contact information
Practice address
740 S. WOODRUFF AVE, IDAHO FALLS, ID 83401
(208) 542-9111
(208) 542-9114
Mailing address
740 S. WOODRUFF AVE, IDAHO FALLS, ID 83401
(208) 542-9111
(208) 542-9114
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
02/27/2013
Last updated
03/17/2018
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