Organization
BEECH TREE PODIATRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRED DON CHANTILES DPM (PRESIDENT)
(717) 843-0896
Entity
Organization
Contact information
Practice address
1546 E MARKET ST, YORK, PA 17403-1255
(717) 843-0896
(717) 854-6519
Mailing address
1546 E MARKET ST, YORK, PA 17403-1255
(717) 843-0896
(717) 854-6519
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017405730001
—
PA
Enumeration date
03/20/2006
Last updated
03/13/2008
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