Individual
DR. TRAVIS HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
510 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63110-1016
(314) 362-7092
(314) 747-4189
Mailing address
510 S KINGSHIGHWAY BLVD, BOX 8131, SAINT LOUIS, MO 63110-1016
(314) 362-2927
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
1027606
MA
2085R0202X
Diagnostic Radiology Physician
Primary
2010007772
MO
Other
Enumeration date
07/14/2006
Last updated
05/07/2026
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