| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1861436636 | PROVIDENCE PHYSICIAN GROUP INC | PO BOX 1664 | MUSKOGEE | OK | 744021664 | |||
| 1790887180 | BACHMAN | GREG | PO BOX 1664 | MUSKOGEE | OK | 744021664 | ||
| 1609978097 | DAFTARY | SUDHIR | R | PO BOX 1664 | MUSKOGEE | OK | 744021664 | |
| 1427150812 | MORDECAI | JAMES | PO BOX 1664 | MUSKOGEE | OK | 744021664 | ||
| 1225125966 | PATTERSON | JAMES | R | PO BOX 1664 | MUSKOGEE | OK | 744021664 |