# DR. CALEB JAMES MENTZER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1285920223
- **Gender:** Man
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | 52097 | SC | — |
| 2086S0102X | Surgical Critical Care Physician | 52097 | SC | — |
| 2086S0102X | Surgical Critical Care Physician | O-1974 | ID | Yes |
| 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