Individual
DALLIN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5169 S COTTONWOOD ST STE 640, MURRAY, UT 84107-6771
(801) 507-3600
Mailing address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14172614-1206
UT
363A00000X
Physician Assistant
PA61843
CA
Other
Enumeration date
08/30/2021
Last updated
07/28/2025
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