Provider Demographics
NPI:1538198098
Name:STERLING, HUGH G (MD)
Entity type:Individual
Prefix:
First Name:HUGH
Middle Name:G
Last Name:STERLING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6000 W OVERLAND RD
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83709-3013
Mailing Address - Country:US
Mailing Address - Phone:208-323-7588
Mailing Address - Fax:208-515-3468
Practice Address - Street 1:6000 W OVERLAND RD
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83709-3013
Practice Address - Country:US
Practice Address - Phone:208-336-7775
Practice Address - Fax:208-515-3468
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDM6211207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID003949500Medicaid
ID003949500Medicaid