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PROVIDENCE PHYSICIAN GROUP INC

Organization (NPI-2) Active

Nurse Anesthetist, Certified Registered

Provider Information

NPI Number
1861436636
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
300 ROCKEFELLER DR, MUSKOGEE, OK, 744015075
Phone
(918) 684-2557
Fax
(405) 948-6507

Specialties & Taxonomies

Anesthesiology
Nurse Anesthetist, Certified Registered Primary

All Addresses

LOCATION

300 ROCKEFELLER DR

MUSKOGEE, OK, 744015075

(918) 684-2557

MAILING

PO BOX 1664

MUSKOGEE, OK, 744021664

(405) 947-8585