Organization
DAMERON EMERGENCY PHYSICIANS MEDICAL GROUP, INC.
Active
Other names
DAMERON EMERGENCY PHYSICIANS MEDICAL GROUP, INC.
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN P. MARON MD (PRESIDENT)
(209) 461-3166
Entity
Organization
Contact information
Practice address
525 WEST ACACIA STREET, STOCKTON, CA 95203-2405
(209) 944-5550
Mailing address
PO BOX 661029, ARCADIA, CA 91066-1029
(626) 447-0296
(626) 623-1227
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G64122
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285727032
—
CA
Enumeration date
10/02/2006
Last updated
08/22/2016
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