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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. RICHARD A ROQUE, IDC

Active

MR. RICHARD A ROQUE, IDC is a Independent Duty Corpsman healthcare provider located in GULFPORT, Mississippi. NPI 1760691810 is currently active in the NPPES registry. Verify at CMS.

Independent Duty Corpsman · GULFPORT, MS

Registration Details

NPI Number
1760691810
Provider Type
Individual
Gender
Male
NPI Issued
May 22, 2007 (19.051894606005 yrs)
Last Updated
Apr 20, 2008

Practice Information

Address
5503 MARVIN SHIELDS BLVD
SEA BEE BASE CLINIC
GULFPORT, MS, 39501
Browse MS providers · Browse ZIP 39501
Phone
2288712810
Primary Specialty
Independent Duty Corpsman
1710I1002X

Other Independent Duty Corpsman Providers in GULFPORT, MS

Name Credential NPI
MR. THOMAS E GILHAM II IDC 1508828161
MR. THOMAS JEFFREY RUFFNER SFIDC 1972629970
MR. KEVIN RICHARD MATTOS IDC 1558576702
MS. SHEILA LEE SHIPMAN IDC 1184830580
JEREMY LOUIS STOVER IDC 1104006246
MR. CHARLES EDWARD GIVENS JR. IDC 1346421914
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.