Organization
SKIN CANCER CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN BIGBIE (MEMBER)
(405) 865-4040
Entity
Organization
Contact information
Practice address
3209 24TH AVE NW, NORMAN, OK 73069-6738
(405) 865-4040
(405) 865-4041
Mailing address
PO BOX 720067, NORMAN, OK 73070-4051
(405) 865-4040
(405) 865-4041
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104262526
—
OK
Enumeration date
06/10/2019
Last updated
01/09/2025
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