Matthew Gelston Herron
NPI #1205474160 in Green River, Wyoming
Provider Information
- NPI Number
- 1205474160
- Entity Type
- Individual
- Name
- Matthew Gelston Herron
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Dec 11, 2019
- Last Updated
- Dec 11, 2019
Practice Location
- Address
- 700 SHOSHONE AVE UNIT 26
- City
- Green River
- State
- Wyoming
- ZIP Code
- 82935-5558
- Phone
- (307) 922-1551
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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