Individual
JAVIER ALBERTO RETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4715 WHITESBURG DR SE, HUNTSVILLE, AL 35802-1632
(256) 881-5151
(256) 880-3939
Mailing address
4715 WHITESBURG DR SE, HUNTSVILLE, AL 35802-1632
(256) 881-5151
(256) 880-3939
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
064744
GA
207X00000X
Orthopaedic Surgery Physician
MD.32705
AL
207XS0117X
Orthopaedic Surgery of the Spine Physician
064744
GA
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
MD.32705
AL
363A00000X
Physician Assistant
104272
MN
363AS0400X
Surgical Physician Assistant
104272
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104272
MN LICENSE
MN
01
—
MD.32705
STATE MEDICAL LICENSE
AL
Enumeration date
09/05/2007
Last updated
09/24/2013
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