person
Dallyn Porter Udall, DO
Student in an Organized Health Care Education/Training Program in Moreno Valley, California
NPI 1164088605

Dallyn Porter Udall is a Student in an Organized Health Care Education/Training Program based in Moreno Valley, CA. Dallyn Porter Udall practices in Moreno Valley, CA and has the professional credentials of DO. The NPI Number for Dallyn Porter Udall is 1164088605 and holds a License No. (California).

The current practice location address for Dallyn Porter Udall is 26520 Cactus Ave, Moreno Valley, CA and can be reached out via phone at 951-486-4698 and via fax at 951-486-4106.

Location: 26520 Cactus Ave, Moreno Valley, CA, 92555-3927
person
Provider Profile Details
NPI Number
1164088605
Provider Name
Dallyn Porter Udall
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
26520 Cactus Ave, Moreno Valley, CA, 92555-3927
Phone Number
951-486-4698
Fax Number
951-486-4106
Provider Enumeration Date
05/09/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
26520 Cactus Ave
City
State
Zip
92555-3927
Phone Number
951-486-4698
Fax Number
951-486-4106
person
Provider Business Mailing Address Details
Address
26520 Cactus Ave
City
State
Zip
92555-3927
Phone Number
951-486-4698
Fax Number
951-486-4106
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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