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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DALLYN PORTER UDALL, DO

Active

DALLYN PORTER UDALL, DO is a Sports Medicine (Orthopaedic) healthcare provider located in GILBERT, Arizona. NPI 1164088605 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine (Orthopaedic) · GILBERT, AZ

Registration Details

NPI Number
1164088605
Provider Type
Individual
Gender
Male
NPI Issued
May 9, 2019 (7.3124848418061 yrs)
Last Updated
May 2, 2025
Licenses
20A19340 (CA)
20A19340 (CA)
011544 (AZ)
011544 (AZ)

Practice Information

Address
2940 E BANNER GATEWAY DR STE 200-250
GILBERT, AZ, 852342168
Browse AZ providers · Browse ZIP 85234
Phone
6026485444
Fax
6027723801
Primary Specialty
Sports Medicine (Orthopaedic)
207XS0114X
Additional Specialty
Sports Medicine (Orthopaedic)
Additional Specialty
Sports Medicine (Orthopaedic)
Additional Specialty
Orthopaedic Surgery

Other Sports Medicine (Orthopaedic) Providers in GILBERT, AZ

Name Credential NPI
STEVEN LLOYD MYERTHALL MD 1487691739
NATHAN DAVIS RICHARDSON M.D. 1790847978
DR. SALVATORE G LACOGNATA D.O. 1609901057
JUSTIN WAYNE WOODRUFF DO 1851554216
DR. CHRISTIAN JOSEPH ECCLES M.D. 1093100844
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.