Individual
DR. JOHN B SLEDGE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1018 S GRETNA GREEN WAY, LOS ANGELES, CA 90049-5831
(781) 254-7599
Mailing address
1018 S GRETNA GREEN WAY, LOS ANGELES, CA 90049-5831
(781) 254-7599
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G172374
CA
207X00000X
Orthopaedic Surgery Physician
MD.205141
LA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
80940
MA
207XS0117X
Orthopaedic Surgery of the Spine Physician
80940
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2183311
—
LA
05
—
3145832
—
MA
01
—
733396
TUFTS
MA
01
—
J31314
BCBS
MA
Enumeration date
01/04/2006
Last updated
06/17/2024
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