GAVIN STAMPER

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1356187454

Practice Address

530 NE GLEN OAK AVE
Peoria, IL 61637

Phone: (309) 671-3000

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X Yes -

Frequently Asked Questions

NPI 1356187454 is the National Provider Identifier for GAVIN STAMPER, a Student in an Organized Health Care Education/Training Program provider located in Peoria, IL. This NPI was enumerated on July 8, 2024.
GAVIN STAMPER practices at 530 NE GLEN OAK AVE, Peoria, IL 61637.

Quick Facts

NPI
1356187454
Type
Individual
Enumerated
Jul 8, 2024
Last Updated
Apr 2, 2025

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