Individual
DR. CAROLYN SHAY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4380 AUSTIN BLUFFS PKWY, COLORADO SPRINGS, CO 80918-2932
(719) 259-6566
Mailing address
4380 AUSTIN BLUFFS PKWY, COLORADO SPRINGS, CO 80918-2932
(719) 259-6566
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01069299A
IN
207Q00000X
Family Medicine Physician
125056768
IL
207Q00000X
Family Medicine Physician
Primary
DR.0057420
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000138729
—
CO
Enumeration date
06/12/2009
Last updated
03/21/2025
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