Carolyn Shay Moore MD

NPI 1881821296 - Family Medicine - 207Q00000X

NPI Details
NPI 1881821296
Gender Female
Enumeration Date 06/12/2009
Last Updated 06/30/2015
Entity Type Individual
Active Over 7 years ago
Practice Location
4102 PINION DR
USAF ACADEMY CO, 80840-2502, US
Phone (719) 333-5260
Fax
Business Location
12626 HIGHLAND OAKS PL
COLORADO SPRINGS CO, 80921-3675, US
Phone (618) 520-0248
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Indiana
License Number 01069299A
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According to our database, Dr. Carolyn Shay Moore MD NPI is 1881821296, taxonomy code is 207Q00000X and license number is 01069299A, license state is located at Indiana. Carolyn Shay Moore MD physically located at 4102 Pinion Dr, Usaf Academy CO, 80840-2502. NPI Number Carolyn Shay Moore MD has the Individual type.

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1881821296 NPI number is provided on an as is basis without warranty of any kind. 1881821296 is maintained by the National Plan & Provider Enumeration System. The contents of Carolyn Shay Moore MD are for informational purposes only.