Individual
CHARLOTTE S KARLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
910 RUSH DR, SALIDA, CO 81201-9665
(719) 539-6637
(719) 539-5275
Mailing address
910 RUSH DR, SALIDA, CO 81201-9665
(719) 539-6637
(719) 539-5275
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1320
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30351031
—
CO
Enumeration date
10/04/2006
Last updated
07/01/2010
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