Derek Tyler Pantiel, DPM Valid NPI

Individual provider · Primary Podiatric Medicine Podiatrist · Wilmington, NC

NPI

1528353638

Type

Individual (Type 1)

Primary specialty

Primary Podiatric Medicine Podiatrist (Podiatrist)

Specialty group

Podiatric Medicine & Surgery Service Providers

Taxonomy code

213EP1101X

License number

606 (NC)

Sex

Male

Sole proprietor

No

Enumerated

2011-06-16

Last updated

2022-08-09