Individual
DAWN E CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
445 E CHEYENNE MOUNTAIN BLVD STE C, PMB 406, COLORADO SPRINGS, CO 80906-4570
(877) 978-8100
Mailing address
126 STANWELL ST, COLORADO SPRINGS, CO 80906-7993
(719) 576-0515
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2005021691
MO
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
C1-0006172
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207294406
—
MO
Enumeration date
10/20/2005
Last updated
04/17/2008
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