Randall Jason Davault, M.D.

Surgery Physician · Durant, OK

Individual Active NPI

NPI number 1457491904

Practice location

1706 Delivery Ln
Durant, OK 74701-2292
Phone
(580) 924-0110
Fax
(580) 920-9976

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NPI record

NPI
1457491904
Entity type
Individual (Type 1)
Enumeration date
February 7, 2007
Last updated
July 8, 2015
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Surgery Physician Primary 208600000X 23575 OK

About Dr. Davault

Randall Jason Davault, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Surgery Physician (code 208600000X). The practice location is 1706 Delivery Ln, Durant, OK 74701-2292. The NPI number 1457491904 was assigned on February 7, 2007 and the record was last updated on July 8, 2015.

Dr. Davault lists a license in the registry: #23575 (OK) for Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Randall Jason Davault, M.D.?

The NPI number is 1457491904.

What is the phone number of Dr. Davault?

The phone number listed for the practice location is (580) 924-0110.

Where is Dr. Davault located?

1706 Delivery Ln, Durant, OK 74701-2292.

What is the taxonomy code for Dr. Davault?

The primary taxonomy code is 208600000X – Surgery Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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