Healthcare Provider Details

I. General information

NPI: 1922054378
Provider Name (Legal Business Name): TRAVIS M SANGER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

708 8TH ST
ARMOUR SD
57313-2102
US

IV. Provider business mailing address

708 8TH ST
ARMOUR SD
57313-2102
US

V. Phone/Fax

Practice location:
  • Phone: 605-724-2159
  • Fax: 605-724-2310
Mailing address:
  • Phone: 605-724-2159
  • Fax: 605-724-2310

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number5783
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: