MR. Gary Stover JR.
NPI #1952833295 in Springfield, Illinois
Provider Information
- NPI Number
- 1952833295
- Entity Type
- Individual
- Name
- MR. Gary Stover JR.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Medicine & Rehabilitation
- Enumeration Date
- Mar 28, 2017
- Last Updated
- Sep 2, 2021
Practice Location
- Address
- 800 N 1ST ST
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62702-3778
- Phone
- (217) 528-7541
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Physical Medicine & Rehabilitation |
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