Provider Demographics
NPI:1265471973
Name:JUNG, CHRISTOPHER H SR (MD)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:H
Last Name:JUNG
Suffix:SR
Gender:M
Credentials:MD
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Mailing Address - Street 1:150 S MOUNT AUBURN RD
Mailing Address - Street 2:STE. 432
Mailing Address - City:CAPE GIRARDEAU
Mailing Address - State:MO
Mailing Address - Zip Code:63703-4910
Mailing Address - Country:US
Mailing Address - Phone:573-334-7173
Mailing Address - Fax:573-334-7185
Practice Address - Street 1:150 S MOUNT AUBURN RD
Practice Address - Street 2:STE. 432
Practice Address - City:CAPE GIRARDEAU
Practice Address - State:MO
Practice Address - Zip Code:63703-4910
Practice Address - Country:US
Practice Address - Phone:573-334-7173
Practice Address - Fax:573-334-7185
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-06
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO32408207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery