Individual
DR. DAVID B UDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
109 REID RD, JUNCTION, TX 76849-3008
(325) 446-3305
(325) 446-2257
Mailing address
2101 MAIN ST, JUNCTION, TX 76849-3024
(325) 446-3305
(325) 446-2257
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
45537
CO
207Q00000X
Family Medicine Physician
Primary
M4971
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
UD45537
BLUE CROSS
CO
Enumeration date
05/15/2007
Last updated
01/21/2011
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