| Randall Jason Davault, MD | |
|
1706 Delivery Ln, Durant, OK 74701-2292 | |
| (580) 924-0110 | |
| (580) 920-9976 |
| Full Name | Randall Jason Davault |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 22 Years |
| Location | 1706 Delivery Ln, Durant, Oklahoma |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457491904 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 23575 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Choctaw Memorial Hospital | Hugo, OK | Hospital |
| Alliancehealth Durant | Durant, OK | Hospital |
| Entity Name | Choctaw County City Of Hugo Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881689289 PECOS PAC ID: 8022921519 Enrollment ID: O20031111000136 |
| Entity Name | Rowland Flatt Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013908441 PECOS PAC ID: 9830186824 Enrollment ID: O20040430000096 |
| Entity Name | Emergency Staffing Solutions Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477590974 PECOS PAC ID: 9830001650 Enrollment ID: O20050207000313 |
| Entity Name | Newman Memorial Hospital, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083617807 PECOS PAC ID: 2567482367 Enrollment ID: O20051122000749 |
| Entity Name | Oklahoma Emergency Physician Partners Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891039764 PECOS PAC ID: 0345493649 Enrollment ID: O20130118000115 |
| Entity Name | Breedlove Wound Care Of Oklahoma Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659183135 PECOS PAC ID: 4183145683 Enrollment ID: O20250312001828 |
| Mailing Address | Practice Location Address |
|---|---|
| Randall Jason Davault, MD 1706 Delivery Ln, Durant, OK 74701-2292 Ph: (580) 924-0110 | Randall Jason Davault, MD 1706 Delivery Ln, Durant, OK 74701-2292 Ph: (580) 924-0110 |
James R Sumner, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1610 W University Blvd, Durant, OK 74701 Phone: 580-924-3400 Fax: 580-924-7732 | |
Dr. Lindsay J Davault, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1400 Bryan Dr Ste 307, Durant, OK 74701 Phone: 580-931-9400 | |
Walter L Gadberry, M. D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1400 Bryan Dr Ste 307, Durant, OK 74701 Phone: 580-256-2820 Fax: 580-256-7336 |