Stillwater Skin & Cancer Medical Clinic, Inc in Oklahoma City - Specialist
Stillwater Skin & Cancer Medical Clinic, Inc - NPI 1790839900
Stillwater Skin & Cancer Medical Clinic, Inc is a Specialist in Oklahoma City, Oklahoma. Stillwater Skin & Cancer Medical Clinic, Inc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Stillwater Skin & Cancer Medical Clinic, Inc is 1790839900. The last update date is 2022-07-21.
Stillwater Skin & Cancer Medical Clinic, Inc's current location address is Po Box 108809, Oklahoma City, Oklahoma. You can contact this provider via phone number 4056241077 and fax number 4053772273. The mailing address for Stillwater Skin & Cancer Medical Clinic, Inc is Po Box 108809, Oklahoma City, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Stillwater Skin & Cancer Medical Clinic, Inc |
|---|---|
| Address | Po Box 108809, Oklahoma City, Oklahoma |
| Phone Number | 4056241077 |
| Fax Number | 4053772273 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Breedlove A Robert |
| Credentials | M.D., F.A. |
| Telephone Number | 4056241077 |
NPI Number Detail
| NPI Number | 1790839900 |
|---|---|
| Provider Enumeration Date | 2007-01-23 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | Po Box 108809 |
|---|---|
| City | Oklahoma City |
| State | Oklahoma (OK) |
| Post Code | 731018809 |
| Phone Number | 4056241077 |
| Fax Number | 4053772273 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 10612 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1588609606 | OK | NPI | |
| 1790839900 | OK | GROUP NPI |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Stillwater Skin & Cancer Medical Clinic, Inc by the Centers for Medicare & Medicaid Services?
The Stillwater Skin & Cancer Medical Clinic, Inc has been issued the NPI (National Provider Identifier) 1790839900 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Stillwater Skin & Cancer Medical Clinic, Inc's facilities are situated?
The facilities of Stillwater Skin & Cancer Medical Clinic, Inc are physically located at the following address: Po Box 108809, Oklahoma City, OK, 731018809.
What is Stillwater Skin & Cancer Medical Clinic, Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Stillwater Skin & Cancer Medical Clinic, Inc's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.
On what date did the Stillwater Skin & Cancer Medical Clinic, Inc receive its 1790839900 assignment from the Centers for Medicare & Medicaid Services?
The Stillwater Skin & Cancer Medical Clinic, Inc was assigned its 1790839900 by the Centers for Medicare & Medicaid Services on 2007-01-23.
When was the Stillwater Skin & Cancer Medical Clinic, Inc's information last updated?
The Stillwater Skin & Cancer Medical Clinic, Inc's information was last updated on 2022-07-21.