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Stillwater Skin & Cancer Medical Clinic, Inc
Specialist in Stillwater, Oklahoma
NPI 1790839900

Stillwater Skin & Cancer Medical Clinic, Inc is a Specialist based in Oklahoma City, OK. Stillwater Skin & Cancer Medical Clinic, Inc practices in Stillwater, OK. The NPI Number for Stillwater Skin & Cancer Medical Clinic, Inc is 1790839900 and holds a License No. 10612 (Oklahoma).

The current practice location address for Stillwater Skin & Cancer Medical Clinic, Inc is 1604 W 8Th Ave, Stillwater, OK and can be reached out via phone at 405-624-1077 and via fax at 405-377-2273.

Location: 1604 W 8Th Ave, Stillwater, OK, 73101-8809
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790839900
Provider Name
Stillwater Skin & Cancer Medical Clinic, Inc
Credential
Provider Entity Type
Organization
Address
1604 W 8Th Ave, Stillwater, OK, 73101-8809
Phone Number
405-624-1077
Fax Number
405-377-2273
Provider Enumeration Date
01/23/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1588609606 01 OK NPI
1790839900 01 OK GROUP NPI
institution
Provider Business Practice Location Address Details
Address
1604 W 8Th Ave
City
Stillwater
State
Oklahoma
Zip
74074-4207
Phone Number
405-624-1077
Fax Number
405-377-2273
person
Provider Business Mailing Address Details
Address
1604 W 8Th Ave
City
Stillwater
State
Oklahoma
Zip
74074-4207
Phone Number
405-624-1077
Fax Number
405-377-2273
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
10612 (Oklahoma)
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.
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