Individual
GEORGE WILLARD SLEDGE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C55993
CA
207RH0003X
Hematology & Oncology Physician
01032928
IN
207RH0003X
Hematology & Oncology Physician
C55993
CA
207RX0202X
Medical Oncology Physician
Primary
C55993
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100074080
—
IN
Enumeration date
04/22/2006
Last updated
04/23/2024
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