IndividualActive
Dallyn Udall, DO
NPI 1164088605 · Adult Reconstructive Orthopaedic Surgery Physician · Gilbert, AZ
Provider details
- NPI number
- 1164088605
- Entity type
- Individual
- Primary specialty
- Adult Reconstructive Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 20A19340 (CA)
Practice location
2940 E Banner Gateway Dr Ste 200-250
Gilbert, AZ 85234-2168
Phone: (602) 648-5444
Fax: (602) 772-3801
Mailing address
Po Box 80217
Phoenix, AZ 85060-0217
Registry dates
- Enumerated
- 2019-05-09
- Last updated
- 2025-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.