Individual
DALLIN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
51342 NATIONAL RD, SAINT CLAIRSVILLE, OH 43950-1710
(740) 699-0940
Mailing address
51342 NATIONAL RD, SAINT CLAIRSVILLE, OH 43950-1710
(740) 699-0940
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
363A00000X
Physician Assistant
3099
WV
363A00000X
Physician Assistant
Primary
50.009585RX
OH
Other
Enumeration date
05/13/2019
Last updated
11/03/2025
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