Randall Jason Davault, M.D.

NPI #1457491904 in Durant, Oklahoma

Provider Information

NPI Number: 1457491904
Entity Type: Individual
Name: Randall Jason Davault, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Surgery
Credential: M.D.
Enumeration Date: Feb 7, 2007
Last Updated: Jul 8, 2015

Practice Location

Address: 1706 DELIVERY LN
City: Durant
State: Oklahoma
ZIP Code: 74701-2292
Phone: (580) 924-0110

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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