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Individual

DR. JUSTIN JOHN GASPER

Active
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Individual

DR. JUSTIN JOHN GASPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
0102203750
VA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036.167006
IL
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

Other identifiers
Code
Description
Identifier
Issuer
State
05
200051124
IL
Enumeration date
10/19/2011
Last updated
12/02/2025
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