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NPI Code Detail

MEDICARE: INTERVENTIONAL PAIN PRACTICE

MEDICARE: INTERVENTIONAL PAIN PRACTICE
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
1208VP0014XInterventional Pain Medicine PhysicianG30638CA

General Provider Information

NPI Number : 1992727986
Entity Type Code : Organization
Provider Name (Legal Business Name) : INTERVENTIONAL PAIN PRACTICE
Provider Business Mailing Address
First Line : PO BOX 160605
Second Line :
City : SACRAMENTO
State : CA
Zip : 95816-0605
Country : US
Telephone Number : 916-473-9426
Fax Number :
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 :
Authorized Official
Title or Position : PRESIDENT
Name : DR. THOMAS M MOWERY
Credential : M.D.
Telephone Number : 916-473-9426
Provider Enumeration Date : 07/25/2006
Last Update Date : 04/08/2008

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Directions to “INTERVENTIONAL PAIN PRACTICE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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