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Individual
DR. CALEB JAMES MENTZER
Active
Individual
DR. CALEB JAMES MENTZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
52097
SC
2086S0102X
Surgical Critical Care Physician
52097
SC
2086S0102X
Surgical Critical Care Physician
Primary
O-1974
ID
2086S0102X
Surgical Critical Care Physician
R4098
TX
2086S0127X
Trauma Surgery Physician
076864
GA
2086S0127X
Trauma Surgery Physician
R4098
TX
Other
Enumeration date
06/28/2011
Last updated
05/14/2024
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