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STERLING PHYSICIAN GROUP, PLLC

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Company Details

Name: STERLING PHYSICIAN GROUP, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved
Date of registration: 14 Feb 2013 (12 years ago)
Financial Date End: 28 Feb 2022
Date dissolved: 14 May 2021
Entity Number: 374354
Place of Formation: IDAHO
File Number: 374354
ZIP code: 83401
County: Bonneville County
Principal Address: 740 S WOODRUFF IDAHO FALLS, ID 83401
Mailing Address: 740 S WOODRUFF AVE IDAHO FALLS, ID 83401-5285

Agent

Name Role Address
CORBIN B BUNNAGE Agent 740 S WOODRUFF, IDAHO FALLS, ID 83401

Member

Name Role Address Appointed On
Corbin B Bunnage Member 740 S WOODRUFF AVE, IDAHO FALLS, ID 83401 2021-01-07

National Provider Identifier

NPI Number:
1487994430

Authorized Person:

Name:
CORBIN BUNNAGE
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QX0100X - Occupational Medicine Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QU0200X - Urgent Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2085429114

Filing

Filing Name Filing Number Filing date
Statement of Dissolution 0004282493 2021-05-13
Annual Report 0004121767 2021-01-07
Annual Report 0003814000 2020-03-16
Annual Report 0003402082 2019-01-18
Annual Report 0002604041 2017-12-26

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Date of last update: 03 Jun 2025

Sources: Idaho Secretary of State