Graduated: 2020
NPI: 1063012383
Practice Locations (2)
STERLING PROVIDER GROUP
740 S WOODRUFF AVE
IDAHO FALLS, ID 834015285
20854291111026
STERLING PROVIDER GROUP
47 DOC PERKES
AFTON, WY 831107703
3078853637
Source: CMS National Downloadable File, September 2026.