Graduated: 2004
NPI: 1598866691
Practice Locations (2)
STERLING PROVIDER GROUP
740 S WOODRUFF AVE
IDAHO FALLS, ID 834015285
20854291111026
STERLING PROVIDER GROUP
630 E 1400, SUITE 150
LOGAN, UT 843412549
4359154465
Source: CMS National Downloadable File, September 2026.