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Stillwater Skin & Cancer Medical Clinic, Inc

Specialist in Stillwater, OK · enumerated 2007 · authorized official Robert Breedlove, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1790839900

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Registry record

Entity type Organization (Type 2)
Legal business name Stillwater Skin & Cancer Medical Clinic, Inc
Practice address 1604 W 8th Ave, Stillwater, OK, 74074
Phone (405) 624-1077
Fax (405) 377-2273
Enumeration date Jan 23, 2007
Last updated in NPPES Jul 21, 2022

Taxonomy & classification

174400000X Specialist Other Service Providers · License 10612 (OK) Primary

Authorized official

Name Robert Breedlove
Title Owner
Phone (405) 624-1077

Other identifiers

Identifier Type State Issuer
1588609606 Other OK NPI
1790839900 Other OK GROUP NPI

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Stillwater Skin & Cancer Medical Clinic, Inc?
The NPI for Stillwater Skin & Cancer Medical Clinic, Inc is 1790839900, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Stillwater Skin & Cancer Medical Clinic, Inc?
NPPES lists Robert Breedlove (Owner) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-07-21.