Graduated: 2018
NPI: 1528526241
Practice Locations (2)
STERLING PROVIDER GROUP
5605 NORTHSIDE XING
CHUBBUCK, ID 832022431
2085475062
PHS AMBULATORY SERVICES LLC
2850 OLYMPUS DR
POCATELLO, ID 832012271
2082392273
Source: CMS National Downloadable File, September 2026.