Individual
CALVIN WOODROW UDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS QIDP
Contact information
Practice address
1349 W MARTIN ST, BOISE, ID 83706-4166
(208) 422-4891
Mailing address
1349 W MARTIN ST, BOISE, ID 83706-4166
(208) 422-4891
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
ID
Other
Enumeration date
06/11/2026
Last updated
06/15/2026
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