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NPI Code Detail

MEDICARE: TRAVIS J JUNGE M.D.

MEDICARE: TRAVIS J JUNGE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician2025030380MO
2207X00000XOrthopaedic Surgery PhysicianC183962CA

General Provider Information

NPI Number : 1023379369
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRAVIS J JUNGE M.D.
Provider Business Mailing Address
First Line : 701 S NEW BALLAS RD STE 510
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63141-8726
Country : US
Telephone Number : 314-251-6710
Fax Number : 314-251-6712
Provider Business Practice Location Address
First Line : 701 S NEW BALLAS RD STE 510
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63141-8726
Country : US
Telephone Number : 314-251-6710
Fax Number : 314-251-6712
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2012
Last Update Date : 10/09/2025

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