| Sterling Provider Group | |
|
47 Doc Perkes Rd Afton WY 83110-7703 | |
| (307) 885-3637 | |
| (307) 885-3638 |
| Full Name | Sterling Provider Group |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 47 Doc Perkes Rd, Afton, Wyoming |
| Authorized Official Name and Position | Corbin Bunnage (PROVIDER/OWNER) |
| Authorized Official Contact | 2085429111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sterling Provider Group 740 S Woodruff Ave Idaho Falls ID 83401-5285 Ph: (208) 542-9111 | Sterling Provider Group 47 Doc Perkes Rd Afton WY 83110-7703 Ph: (307) 885-3637 |
| NPI Number | 1962047431 |
|---|---|
| Provider Enumeration Date | 11/08/2019 |
| Last Update Date | 06/17/2026 |
| Certification Date | 06/17/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962047431 | NPI | - | NPPES |
| 53D2147193 | Other | WY | CLIA |
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