Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RANDALL JASON DAVAULT, M.D.
Active Sole ProprietorGeneral Surgery · DURANT, OK
Registration Details
- NPI Number
- 1457491904
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 7, 2007 (19.242972062874 yrs)
- Last Updated
- Jul 8, 2015
- License
-
23575 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1706 DELIVERY LNDURANT, OK, 747012292Browse OK providers · Browse ZIP 74701
- Phone
- 5809240110
- Fax
- 5809209976
- Primary Specialty
-
General Surgery
208600000X
Other General Surgery Providers in DURANT, OK
| Name | Credential | NPI |
|---|---|---|
| JAMES R SUMNER | D.O. | 1396747168 |
| WALTER L GADBERRY | M. D. | 1912955626 |
| DR. LINDSAY J DAVAULT | MD | 1750421251 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.