Organization
INTEGRATIVE LIFE MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHELLEY W MOORE MD (PHYSICIAN)
(512) 296-0319
Entity
Organization
Contact information
Practice address
315 CANYON AVE STE 2A, FORT COLLINS, CO 80521-2686
(970) 598-5012
Mailing address
814 W MOUNTAIN AVE, FORT COLLINS, CO 80521-2508
(512) 296-0319
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
07/28/2026
Last updated
07/28/2026
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