Individual
GREGORY GABOR MATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
501 S PRESTON ST UNIT 415, LOUISVILLE, KY 40202-1701
(502) 852-5096
Mailing address
3801 VANDERBILT CIR, SPRINGFIELD, IL 62711-7342
(217) 303-4969
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/22/2022
Last updated
01/22/2022
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