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Dameron Hospital Association
Primary Care Clinic/Center in Stockton, California
NPI 1699195115

Dameron Hospital Association is a Primary Care Clinic/Center based in Stockton, CA and is specialized in Primary Care. Dameron Hospital Association practices in Stockton, CA. The NPI Number for Dameron Hospital Association is 1699195115 and holds a License No. (California).

The current practice location address for Dameron Hospital Association is 530 W Acacia St, Stockton, CA and can be reached out via phone at 209-944-5410 and via fax at 209-944-5477.

Location: 530 W Acacia St, Stockton, CA, 95203-2484
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1699195115
Provider Name
Dameron Hospital Association
Credential
Provider Entity Type
Organization
Address
530 W Acacia St, Stockton, CA, 95203-2484
Phone Number
209-944-5410
Fax Number
209-944-5477
Provider Enumeration Date
04/23/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
05-0122 01 MEDICARE ID-TYPE UNSPECIFIED
institution
Provider Business Practice Location Address Details
Address
530 W Acacia St
City
Stockton
State
California
Zip
95203-2454
Phone Number
209-944-5410
Fax Number
209-944-5477
person
Provider Business Mailing Address Details
Address
530 W Acacia St
City
Stockton
State
California
Zip
95203-2454
Phone Number
209-944-5410
Fax Number
209-944-5477
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
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Definition
Definition to come...
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