# TWO STEP PODIATRY

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

## Provider details

- **NPI number:** 1174069603
- **Authorized official:** DR. DEREK T PANTIEL DPM (PRESIDENT)
- **Authorized official phone:** (440) 623-1221

## Contact information

- **Practice address:** 4113 OLEANDER DR, SUITE G, WILMINGTON, NC 28403-6839
- **Practice address phone:** (440) 623-1221
- **Mailing address:** 4113 OLEANDER DR, SUITE G, WILMINGTON, NC 28403-6839
- **Mailing address phone:** (440) 623-1221

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 606 | NC | Yes |

## Other

- **Enumeration date:** 01/08/2017
- **Last updated:** 01/08/2017