Mr. Richard A Roque, IDC
Mr. Richard A Roque, IDC is an Independent Duty Corpsman in Gulfport, Mississippi. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
5503 Marvin Shields Blvd Sea Bee Base ClinicGulfport, MS 39501
Phone: (228) 871-2810
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Independent Duty Corpsman (primary) | Taxonomy 1710I1002X |
|---|
Record details
| NPI number | 1760691810 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | IDC |
| Sole proprietor | No |
| NPI enumerated | May 22, 2007 |
| Last updated in NPPES | April 20, 2008 |
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