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NPI Code Detail

MEDICARE: DR. THOMAS MOWERY MD

MEDICARE: DR. THOMAS MOWERY MD
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
1207LP2900XPain Medicine (Anesthesiology) PhysicianG30638CA

General Provider Information

NPI Number : 1629050349
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS MOWERY MD
Provider Business Mailing Address
First Line : 3160 J ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95816-4403
Country : US
Telephone Number : 916-473-9426
Fax Number : 916-669-8549
Provider Business Practice Location Address
First Line : 3160 J ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95816-4403
Country : US
Telephone Number : 916-473-9426
Fax Number : 916-669-8549
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2005
Last Update Date : 04/08/2008

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Directions to “ DR. THOMAS MOWERY MD” Practice Location

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