Individual
MR. MATTHEW RAY COSTELOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8044 MONTGOMERY RD STE 120, CINCINNATI, OH 45236-2919
(270) 571-8887
Mailing address
8044 MONTGOMERY RD STE 120, CINCINNATI, OH 45236-2919
(270) 571-8887
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/07/2025
Last updated
05/07/2025
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