Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gavin Stamper

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1356187454

Gavin Stamper is a Student in an Organized Health Care Education/Training Program in Peoria, Illinois. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

530 NE Glen Oak Ave
Peoria, IL 61637-3082
Phone: (309) 671-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1356187454
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 8, 2024
Last updated in NPPESApril 2, 2025
Certification dateApril 2, 2025
Mailing address530 Ne Glen Oak Ave, Peoria, IL 61637-0001

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