Individual
DR. LINDSAY J DAVAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1400 BRYAN DR STE 307, DURANT, OK 74701-2158
(580) 931-9400
Mailing address
1400 BRYAN DR STE 307, DURANT, OK 74701-2158
(580) 931-3400
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
24982
OK
Other
Enumeration date
02/07/2007
Last updated
11/21/2019
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