Individual
DR. LEE SPALT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
414 E ASH ST, COBDEN, IL 62920-2407
(618) 893-2401
Mailing address
414 E ASH ST, COBDEN, IL 62920-2407
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036-045503
IL
Other
Enumeration date
04/12/2007
Last updated
11/24/2010
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