# DR. JUSTIN JOHN GASPER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1578848792
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 0102203750 | VA | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | 036.167006 | IL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | 2015011363 | MO | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | BP10040290 | TX | — |
| 208VP0000X | Pain Medicine Physician | 036.167006 | IL | — |
| 208VP0000X | Pain Medicine Physician | 2015011363 | MO | — |

## Other

- **Enumeration date:** 10/19/2011
- **Last updated:** 12/02/2025