Graduated: 2020
NPI: 1073114906
Practice Locations (4)
STERLING PROVIDER GROUP
5605 NORTHSIDE XING
CHUBBUCK, ID 832022431
2085475062
STERLING PROVIDER GROUP
7017 DAISY LN
IDAHO FALLS, ID 834025753
20854291111017
STERLING PROVIDER GROUP
740 S WOODRUFF AVE
IDAHO FALLS, ID 834015285
20854291111026
OPTUM MEDICAL GROUP II RHODES P C
4475 S EASTERN AVE
LAS VEGAS, NV 891197826
7025793253
Source: CMS National Downloadable File, September 2026.