Individual
DALTON JAMES PEASLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5225 23RD AVE S, FARGO, ND 58104-7927
(406) 465-0990
Mailing address
421 WYNDHAM HILL PKWY, TEMPLE, TX 76502-1975
(406) 465-0990
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
RL-16715
ND
207R00000X
Internal Medicine Physician
V4961
TX
2085R0202X
Diagnostic Radiology Physician
V4941
TX
Other
Enumeration date
07/27/2020
Last updated
12/05/2025
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