Graduated: 2021
NPI: 1356925820
Practice Locations (2)
STERLING PROVIDER GROUP
1404 POMERELLE AVE, SUITE A1
BURLEY, ID 833182013
2088788783
STERLING PROVIDER GROUP
630 E 1400, SUITE 150
LOGAN, UT 843412549
4359154465
Source: CMS National Downloadable File, September 2026.