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Contact Information

REBECCA A WALDRUP, DO
KEESLER AIR FORCE BASE MEDICAL CENTER
101 FISHER ST
BILOXI, MS39534
 Phone: 228-376-0500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medical Services

207PE0004X 93 Physician/Emergency Medicine
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for REBECCA A WALDRUP · (Female)

NPI Number 1366003105
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/24/2019
Last updated 07/08/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MS License # 32648
  • OH License # 34.015002
  • MS Other 32648 MISSISSIPPI MEDICAL LICENSE
  • OH Other 34.015002 OHIO MEDICAL LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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