# DAMERON OCCUPATIONAL HEALTH SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841340155
- **Authorized official:** MR. WILLIAM KENNETH CHASE (DIRECTOR OF FINANCE)
- **Authorized official phone:** (209) 461-3193

## Contact information

- **Practice address:** 525 W ACACIA ST, STOCKTON, CA 95203-2405
- **Practice address phone:** (209) 461-3193
- **Practice address fax:** (209) 461-3130
- **Mailing address:** 525 W ACACIA ST, STOCKTON, CA 95203-2405
- **Mailing address phone:** (209) 461-3193
- **Mailing address fax:** (209) 461-3130

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | — | CA | Yes |

## Other

- **Enumeration date:** 01/11/2007
- **Last updated:** 08/22/2020