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Individual

DR. DEREK TYLER PANTIEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1602 DOCTORS CIR, WILMINGTON, NC 28401-7406
(910) 343-8889
Mailing address
1602 DOCTORS CIR, WILMINGTON, NC 28401-7406
(910) 343-8889

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
606
NC
213ES0103X
Foot & Ankle Surgery Podiatrist
606
NC
213ES0131X
Foot Surgery Podiatrist
606
NC

Other

Enumeration date
06/16/2011
Last updated
08/09/2022
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