Individual
ANDREW T SLEDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1007 39TH AVE SE, PUYALLUP, WA 98374-2192
(253) 435-3100
(253) 435-3298
Mailing address
27309 MADISON AVE, TEMECULA, CA 92590-5685
(833) 574-2273
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
C141414
CA
208000000X
Pediatrics Physician
Primary
MD60765787
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194946467
—
MO
01
—
888783
ANTHEM BCBS
MO
Enumeration date
05/02/2007
Last updated
06/29/2022
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