Dalton Maples JR., PA-C

NPI #1932139748 in Fort Carson, Colorado

Provider Information

NPI Number: 1932139748
Entity Type: Individual
Name: Dalton Maples JR., PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jul 4, 2006
Last Updated: Oct 25, 2012

Practice Location

Address: 1853 OCONNELL BLVD
Address 2: BUILDING 1042
City: Fort Carson
State: Colorado
ZIP Code: 80913-4055
Phone: (719) 526-9408

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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