Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Randall Jason Davault, MD

Individual provider Surgery Physician · NPI 1457491904

Randall Jason Davault, MD is a General Surgery in Durant, Oklahoma. Graduated from University of Oklahoma College of Medicine in 2003, 23 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
23
Trained at
University of Oklahoma College of Medicine
Licensed in
OK
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1706 Delivery Ln
Durant, OK 74701-2292
Phone: (580) 924-0110
Fax: (580) 920-9976
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 23575 (OK)

Record details

NPI number1457491904
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 7, 2007
Last updated in NPPESJuly 8, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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