Providence Physician Group INC
NPI #1861436636 in Muskogee, Oklahoma
Provider Information
- NPI Number
- 1861436636
- Entity Type
- Organization
- Organization Name
- Providence Physician Group INC
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Enumeration Date
- Jun 15, 2006
- Last Updated
- Sep 11, 2025
Practice Location
Authorized Official
- Name
- JIM BLAIR
- Title
- CEO
- Phone
- (918) 684-2557
Specialties & Taxonomy Codes
| Specialty |
|---|
| Anesthesiology |
| Nurse Anesthetist, Certified Registered |
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