Healthcare Provider Details

I. General information

NPI: 1073571857
Provider Name (Legal Business Name): DAWN R DAWSON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2006
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1925 DOMINION WAY STE 100
COLORADO SPRINGS CO
80918-1484
US

IV. Provider business mailing address

1925 DOMINION WAY STE 100
COLORADO SPRINGS CO
80918-1484
US

V. Phone/Fax

Practice location:
  • Phone: 719-477-0203
  • Fax: 719-426-2258
Mailing address:
  • Phone: 719-477-0203
  • Fax: 719-426-2258

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number1014154
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number35192
License Number StateNH
# 3
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number34445
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: