| Sterling Provider Group | |
|
630 E 1400 N Ste 150 Logan UT 84341-2549 | |
| (435) 915-4465 | |
| (435) 799-3664 |
| Full Name | Sterling Provider Group |
|---|---|
| Speciality | Clinic/center - Urgent Care |
| Location | 630 E 1400 N Ste 150, Logan, Utah |
| Authorized Official Name and Position | Corbin Bunnage (PROVIDER/OWER) |
| 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 630 E 1400 N Ste 150 Logan UT 84341-2549 Ph: (435) 915-4465 |
| NPI Number | 1639713589 |
|---|---|
| Provider Enumeration Date | 11/04/2019 |
| Last Update Date | 06/17/2026 |
| Certification Date | 06/17/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639713589 | NPI | - | NPPES |
| 46D2147193 | Other | UT | CLIA |
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