Individual
DR. KING SMITH UDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 S 900 E, SALT LAKE CITY, UT 84105-3208
(801) 464-7767
(801) 464-7696
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 464-7767
(801) 464-7696
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1610051205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
942854058761
—
UT
Enumeration date
06/15/2006
Last updated
06/26/2009
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