Basic Information
| Provider Information | |||||||||
| NPI: | 1164786604 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DOBBS | ||||||||
| FirstName: | KARLA | ||||||||
| MiddleName: | DORA | ||||||||
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| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 3988 | ||||||||
| Address2: | |||||||||
| City: | CARBONDALE | ||||||||
| State: | IL | ||||||||
| PostalCode: | 629023988 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6184575200 | ||||||||
| FaxNumber: | 6183514820 | ||||||||
| Practice Location | |||||||||
| Address1: | 2305 S HIGHWAY 65 | ||||||||
| Address2: | |||||||||
| City: | MARSHALL | ||||||||
| State: | MO | ||||||||
| PostalCode: | 653403702 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6608867431 | ||||||||
| FaxNumber: | 6608313314 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/29/2012 | ||||||||
| LastUpdateDate: | 08/25/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/25/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | 2015007390 | MO | N | Allopathic & Osteopathic Physicians | Emergency Medicine | 207Q00000X | 2015007390 | MO | Y | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 125061873 | IL | N | Allopathic & Osteopathic Physicians | Family Medicine | 208M00000X | 036137228 | IL | N | Allopathic & Osteopathic Physicians | Hospitalist |
No ID Information.