# BEECH TREE PODIATRY, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922067958
- **Authorized official:** MR. FRED DON CHANTILES DPM (PRESIDENT)
- **Authorized official phone:** (717) 843-0896

## Contact information

- **Practice address:** 1546 E MARKET ST, YORK, PA 17403-1255
- **Practice address phone:** (717) 843-0896
- **Practice address fax:** (717) 854-6519
- **Mailing address:** 1546 E MARKET ST, YORK, PA 17403-1255
- **Mailing address phone:** (717) 843-0896
- **Mailing address fax:** (717) 854-6519

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 03/20/2006
- **Last updated:** 03/13/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0017405730001 | — | PA |