| Doctor Name: | MS. KARLY MARIE DAWSON |
| NPI Number: | 1124379086 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C, MSPAS, MPH |
| License Number: | PA22304 |
| Business Practice Address: | 85 Sierra Park Rd Mammoth Lakes, CA - 935462073 |
| Business Phone Number: | 7609244084 |
| Business Fax Number: | |
| Mailing Address: | 85 Sierra Park Rd, MAMMOTH LAKES |
| State: | CA |
| Postal Code: | 935462073 |
| Phone Number: | 7609244084 |
| Fax Number: | |
| NPI Enumeration Date: | 10/01/2012 |
| NPI Last Update Date: | 10/01/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | PA22304 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |