Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dallyn Porter Udall, DO

Individual provider Orthopaedic Surgery Physician · NPI 1164088605

Dallyn Porter Udall, DO is an Orthopedic Surgery in Gilbert, Arizona. Graduated from At Still University of Health Sciences, College of Osteo Med, Kirksville in 2019, 7 years ago. Practices with Orthopedic Specialists of North America PLLC, a 309-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona and California.

Years since qualifying
7
Trained at
At Still University of Health Sciences, College of Osteo Med, Kirksville
Licensed in
AZ, CA
In the registry since
2019
Specialties on file
5
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2940 E Banner Gateway Dr Ste 200-250
Gilbert, AZ 85234-2168
Phone: (602) 648-5444
Fax: (602) 772-3801
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Adult Reconstructive Orthopaedic Surgery Physician (primary) Taxonomy 207XS0114X · Licence 011544 (AZ)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 20A19340 (CA)
Adult Reconstructive Orthopaedic Surgery Physician Taxonomy 207XS0114X · Licence 20A19340 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 011544 (AZ)

Record details

NPI number1164088605
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 9, 2019
Last updated in NPPESMay 2, 2025
Certification dateMay 2, 2025
Mailing addressPo Box 80217, Phoenix, AZ 85060-0217

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolAT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated 2019 (7 years in practice)
Group practice Orthopedic Specialists Of North America Pllc — 309 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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