Individual
MS. DAWN M MALSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1750 E KEN PRATT BLVD, LONGMONT, CO 80504-5311
(720) 718-7000
(720) 718-0973
Mailing address
1750 E KEN PRATT BLVD, LONGMONT, CO 80504-5311
(720) 718-7000
(720) 718-7000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1664
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07175043
—
CO
Enumeration date
03/07/2007
Last updated
11/20/2025
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