PROVIDENCE PHYSICIAN GROUP INC

MUSKOGEE, OK
NPI1861436636
Entity TypeOrganization
Authorized ContactJIM BLAIR
CEO
918-684-2557
Organization Subpart ?No
Primary Taxonomy207L00000X Anesthesiology
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
Enumeration Date2006-06-15
Last Update Date2020-08-22
Business Address
PROVIDENCE PHYSICIAN GROUP INC
300 ROCKEFELLER DR
MUSKOGEE, OK 74401-5075
Phone number: 918-684-2557
Mailing Address
PROVIDENCE PHYSICIAN GROUP INC
PO BOX 1664
MUSKOGEE, OK 74402-1664
Phone number: 405-947-8585