Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Stillwater Skin & Cancer Medical Clinic, Inc

Organization Specialist · NPI 1790839900

Stillwater Skin & Cancer Medical Clinic, Inc is a Specialist in Stillwater, Oklahoma. Works from 2 locations. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1604 W 8th Ave
Stillwater, OK 74074-4207
Phone: (405) 624-1077
Fax: (405) 377-2273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1722 N 4th St, Ponca City, OK 74601-2745 — (405) 624-1077

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 10612 (OK)

Record details

NPI number1790839900
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Breedlove — Owner · (405) 624-1077
NPI enumeratedJanuary 23, 2007
Last updated in NPPESJuly 21, 2022
Mailing addressPo Box 108809, Oklahoma City, OK 73101-8809

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