| 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 |