Individual
DAWN PAVOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1950 MOUNTAIN VIEW AVE, LONGMONT, CO 80501-3129
(303) 776-4824
Mailing address
PO BOX 7328, LOVELAND, CO 80537-0328
(970) 663-2742
(970) 667-0847
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
41150
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77530781
—
CO
01
—
E8108
BCBS
CO
01
—
P00049033
RAILROAD MEDICARE
CO
Enumeration date
06/24/2006
Last updated
11/04/2020
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