Stillwater Skin & Cancer Medical Clinic, INC
NPI #1790839900 in Stillwater, Oklahoma
Provider Information
- NPI Number
- 1790839900
- Entity Type
- Organization
- Organization Name
- Stillwater Skin & Cancer Medical Clinic, INC
- Primary Specialty
- Specialist
- Enumeration Date
- Jan 23, 2007
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 1604 W 8TH AVE
- City
- Stillwater
- State
- Oklahoma
- ZIP Code
- 74074-4207
- Phone
- (405) 624-1077
Authorized Official
- Name
- DR. ROBERT A BREEDLOVE, M.D., F.A.AD.
- Title
- OWNER
- Phone
- (405) 624-1077
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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