Davault, Randall Jason
Davault, Randall Jason is an sole proprietor health care provider with primary practice located at 1706 Delivery Ln , Durant OK 74701-2292. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Davault, Randall Jason can be contacted via phone (580) 924-0110.Contact Information
Primary practice address
1706 Delivery Ln
Durant OK 74701-2292
Phone: (580) 924-0110
Fax: (580) 920-9976
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 23575 | Oklahoma |
Profile Details
| NPI number | 1457491904 |
|---|---|
| LBN Legal business name | Davault, Randall Jason |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 7th, 2007 |
| Last updated | Jul 8th, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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