Individual
CRYSTAL L SKOVLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1 BOBCAT CIRCLE, BOZEMAN, MT 59715-3380
(406) 414-4780
Mailing address
915 HIGHLAND BLVD, BOZEMAN, MT 59715-6902
(406) 414-5000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MED-PAC-LIC-65940
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760764054
—
MT
Enumeration date
09/13/2011
Last updated
04/09/2025
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