Organization
J WALDEN RETAN MD PC
Active
Other names
J Walden Retan MD PA
Organization subpart
No
Provider details
NPI number
Authorized official
J WALDEN RETAN MD (PRESIDENT)
(205) 967-2900
Entity
Organization
Contact information
Practice address
3105 WARRINGTON ROAD, MOUNTAIN BROOK, AL 35223-2721
(205) 967-2900
(205) 967-0069
Mailing address
3105 WARRINGTON ROAD, MOUNTAIN BROOK, AL 35223-2721
(205) 967-2900
(205) 967-0069
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
3223
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51005240
BLUE CROSS
AL
Enumeration date
08/18/2006
Last updated
08/22/2020
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