Individual
DR. HALDON M. MARMOLEJOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
301 FISHER ST, KEESLER AFB, MS 39534-2508
(228) 376-6030
Mailing address
301 FISHER ST, KEESLER AFB, MS 39534-2508
(228) 376-6030
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
02008215A
IN
207L00000X
Anesthesiology Physician
02008215A
IN
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/30/2021
Last updated
07/16/2025
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