Organization
TWO STEP PODIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEREK T PANTIEL DPM (PRESIDENT)
(440) 623-1221
Entity
Organization
Contact information
Practice address
4113 OLEANDER DR, SUITE G, WILMINGTON, NC 28403-6839
(440) 623-1221
Mailing address
4113 OLEANDER DR, SUITE G, WILMINGTON, NC 28403-6839
(440) 623-1221
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
606
NC
Other
Enumeration date
01/08/2017
Last updated
01/08/2017
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