Individual
DR. ELLIE CHIWON KHO MENTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2080 CHILD STREET NAVAL HOSPITAL JACKSONVILLE, JACKSONVILLE, FL 32214-2111
(904) 542-7600
Mailing address
2742 ESTATES LN, JACKSONVILLE, FL 32257-5764
(022) 841-3926
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101242123
VA
Other
Enumeration date
10/16/2006
Last updated
01/30/2025
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