Healthcare Provider Details

I. General information

NPI: 1700107869
Provider Name (Legal Business Name): DAVID RANDALL DESCHAMPS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2010
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5414 W PINNACLE POINTE DR STE 300
ROGERS AR
72758-8956
US

IV. Provider business mailing address

4140 W MEMORIAL RD STE 321
OKLAHOMA CITY OK
73120-8300
US

V. Phone/Fax

Practice location:
  • Phone: 479-268-4979
  • Fax: 479-268-4998
Mailing address:
  • Phone: 405-748-4726
  • Fax: 405-607-8761

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License NumberE11038
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number27776
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: