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
N 900 HIGHWAY 41, STE 2&3, POST FALLS, ID 83854-8816
(208) 457-7100
(208) 457-7098
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
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13D2275110
CLIA
ID
Enumeration date
08/10/2022
Last updated
07/26/2024
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