MEDICARE: DR. CRAIG MAPLES DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	204D00000X	Neuromusculoskeletal Medicine & OMM Physician	DR.0069266	CO

General Provider Information

NPI Number	:	1780212001
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CRAIG MAPLES DO

Provider Business Mailing Address
First Line	:	1808 MORNINGVIEW LN
Second Line	:
City	:	CASTLE ROCK
State	:	CO
Zip	:	80109-3641
Country	:	US
Telephone Number	:	925-699-0244
Fax Number	:

Provider Business Practice Location Address
First Line	:	1175 S PERRY ST
Second Line	:
City	:	CASTLE ROCK
State	:	CO
Zip	:	80104-1969
Country	:	US
Telephone Number	:	720-523-0133
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2020
Last Update Date	:	08/02/2023

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