Individual provider · Type 1 NPI

Dallyn Porter Udall, DO

Adult Reconstructive Orthopaedic Surgery Physician · Gilbert, AZ

NPI number 1164088605 Active

Practice location

2940 E Banner Gateway Dr Ste 200-250
Gilbert, AZ 85234-2168

Fax (602) 772-3801

Mailing address

PO Box 80217
Phoenix, AZ 85060-0217

Other practice locations

  • 10710 N Torrey Pines Rd, La Jolla, CA 92037-1035 · (858) 554-7993

Specialties and licenses

TaxonomyCodeLicense
Orthopaedic Surgery Physician 207X00000X20A19340 (CA)
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X20A19340 (CA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Adult Reconstructive Orthopaedic Surgery Physician Primary 207XS0114X011544 (AZ)
Orthopaedic Surgery Physician 207X00000X011544 (AZ)

Adult Reconstructive Orthopaedic Surgery Physician: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.

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About NPI 1164088605

Dallyn Porter Udall, DO's National Provider Identifier is 1164088605, issued on May 9, 2019. The primary taxonomy on file is Adult Reconstructive Orthopaedic Surgery Physician (207XS0114X), and the practice location is in Gilbert, AZ. The record was last updated on May 2, 2025.