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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST
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DAVAULT, RANDALL JASON
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This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
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| Practice Address: |
1706 DELIVERY LN.
DURANT OK 74701-2292
Address last updated on 8/2/2024 |
| Phone #: |
(580) 920-2122 |
| Fax #: |
(580) 920-9976 |
| County: |
BRYAN |
| License: |
23575 |
| Dated: |
8/1/2005 |
| Expires: |
8/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
General Surgery |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
YES |
| Medical School: |
Univ Of Ok Coll Of Med, Oklahoma City Ok 73190 |
| Graduated: |
5 /
2003 |
| CME Year: |
2026 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
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| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
AllianceHealth Durant
Durant, OK
Choctaw Memorial Hospital
Hugo, OK
OU Health Medical Center
Oklahoma City, OK
V.A. Medical Center-OKC
Oklahoma City, OK
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| Locations: |
Hours: |
Languages: |
1706 DELIVERY LN.
DURANT OK 74701-2292
Phone #:
(580) 920-2122
Fax #:
(580) 920-9976 |
Mon: 8:30AM - 5:00PM
Tue: 8:30AM - 5:00PM
Wed: 8:30AM - 5:00PM
Thu: 8:30AM - 5:00PM
Fri: 8:30AM - 1:00PM
Sat:
Sun: |
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