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Sterling Provider Group
Occupational Medicine Clinic/Center in Burley, Idaho
NPI 1659915593

Sterling Provider Group is a Occupational Medicine Clinic/Center based in Idaho Falls, ID and is specialized in Occupational Medicine. Sterling Provider Group practices in Burley, ID. The NPI Number for Sterling Provider Group is 1659915593 and holds a License No. (Idaho).

The current practice location address for Sterling Provider Group is 1404 Pomerelle Ave Ste A1, Burley, ID and can be reached out via phone at 208-878-8783 and via fax at 208-878-8786.

Location: 1404 Pomerelle Ave Ste A1, Burley, ID, 83401-5285
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1659915593
Provider Name
Sterling Provider Group
Credential
Provider Entity Type
Organization
Address
1404 Pomerelle Ave Ste A1, Burley, ID, 83401-5285
Phone Number
208-878-8783
Fax Number
208-878-8786
Provider Enumeration Date
11/04/2019
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
13D2099992 01 ID CLIA
institution
Provider Business Practice Location Address Details
Address
1404 Pomerelle Ave Ste A1
City
Burley
State
Idaho
Zip
83318-2013
Phone Number
208-878-8783
Fax Number
208-878-8786
person
Provider Business Mailing Address Details
Address
1404 Pomerelle Ave Ste A1
City
Burley
State
Idaho
Zip
83318-2013
Phone Number
208-878-8783
Fax Number
208-878-8786
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Urgent Care
Taxonomy
261QU0200X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Occupational Medicine
Taxonomy
261QX0100X
License No.
()
Definition
Definition to come...
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