MEDICARE: METROPOLITAN PAIN MANAGEMENT CONSULTANTS, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208VP0014X	Interventional Pain Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	6531190001	OTHER	CA	DMERC

General Provider Information

NPI Number	:	1275536294
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	METROPOLITAN PAIN MANAGEMENT CONSULTANTS, INC

Provider Business Mailing Address
First Line	:	2288 AUBURN BLVD
Second Line	:	STE 106
City	:	SACRAMENTO
State	:	CA
Zip	:	95821-1619
Country	:	US
Telephone Number	:	916-568-8338
Fax Number	:	916-925-3985

Provider Business Practice Location Address
First Line	:	2288 AUBURN BLVD
Second Line	:	STE 106
City	:	SACRAMENTO
State	:	CA
Zip	:	95821-1619
Country	:	US
Telephone Number	:	916-568-8338
Fax Number	:	916-925-3985

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. LEE THOMAS SNOOK JR.
Credential	:	M.D.
Telephone Number	:	916-568-8338

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	01/19/2012

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Directions to “METROPOLITAN PAIN MANAGEMENT CONSULTANTS, INC ” Practice Location

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