Healthcare Provider Details

I. General information

NPI: 1942244983
Provider Name (Legal Business Name): AMBER MARIE SKORPIL PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2006
Last Update Date: 03/29/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

448 W LAUREL AVE
PLENTYWOOD MT
59254
US

IV. Provider business mailing address

PO BOX 217
PLENTYWOOD MT
59254
US

V. Phone/Fax

Practice location:
  • Phone: 406-765-1501
  • Fax: 406-765-1506
Mailing address:
  • Phone: 406-765-1501
  • Fax: 406-765-1506

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number139
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: