Individual
LEEN MATALKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 7TH AVE S, BIRMINGHAM, AL 35233
(205) 638-9100
Mailing address
703 VOLKER HALL, BIRMINGHAM, AL 35294-0001
(205) 638-9107
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD.36666
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2016
Last updated
06/25/2019
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