Individual provider · Type 1 NPI
Karly Marie Dawson, PA-C, MSPAS, MPH
Medical Physician Assistant · Mammoth Lakes, CA
NPI number
1124379086
Active
Practice location
85 Sierra Park Rd
Mammoth Lakes, CA 93546-2073
Other practice locations
- 150 Pioneer Ln, Bishop, CA 93514-2556 · (760) 873-5811
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA22304 (CA) |
| Surgical Physician Assistant | 363AS0400X | PA22304 (CA) |
Medical Physician Assistant: Definition to come...
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About NPI 1124379086
Karly Marie Dawson, PA-C, MSPAS, MPH's National Provider Identifier is 1124379086, issued on Oct 1, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Mammoth Lakes, CA. The record was last updated on Nov 4, 2025.