NPI | 1922067958 |
---|---|
Entity Type | Organization |
Authorized Contact | FRED DON CHANTILES President 717-843-0896 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2006-03-20 |
Last Update Date | 2008-03-13 |