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Gary Stover
NPI 1952833295 · on the registry since 2017 · sole proprietor
Practice
- Address
- 800 N 1st St
Springfield, IL 62702 - Phone
- (217) 528-7541
- Organisation at this address
- Springfield Clinic, Llp
Springfield Clinic 1st Laboratory
Springfield Clinic Physical TherapyInferred from a shared address, not stated in the registry. - Clinicians at this address
- 153
Registry record
- Primary taxonomy
- 208100000X
208100000X
- Also registered as
- 390200000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-09-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois