MR. RICHARD A ROQUE IDC
NPI 1760691810
Military Health Care Provider - Independent Duty Corpsman in Gulfport, MS

Active since May 22, 2007
5503 MARVIN SHIELDS BLVD, SEA BEE BASE CLINIC, GULFPORT, MS 39501(228) 871-2810 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Richard A Roque Idc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RICHARD A ROQUE IDC (NPI 1760691810) is an individual independent duty corpsman provider in Gulfport, Mississippi and active in the NPI registry since May 2007.Information from the official NPPES registry record.

NPPES Registry Identity

NPI1760691810
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMR. RICHARD A ROQUECredential: IDC
Location Address5503 MARVIN SHIELDS BLVD, SEA BEE BASE CLINICGulfport, MS 39501
Mailing AddressNmcb 7 Medical Department, Unit 60252Fpo, AA 34099 · (228) 223-5879
Sole ProprietorNo
Enumeration DateMay 22, 2007
Last NPPES UpdateApril 20, 2008
NPI 1760691810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers
Taxonomy Code1710I1002X
Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.

5503 MARVIN SHIELDS BLVD, Gulfport, MS 39501

Reviews for MR. RICHARD A ROQUE IDC

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Military Health Care Provider (Independent Duty Corpsman)
5503 MARVIN SHIELDS BLVD
GULFPORT, MS 39501
Military Health Care Provider (Independent Duty Corpsman)
5503 MARVIN SHIELDS BLVD, NHBC GULFPORT
GULFPORT, MS 39501
Registered Nurse (Case Management)
5503 MARVIN SHIELDS BLVD
GULFPORT, MS 39501

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760691810, enumerated as an "individual" on May 22, 2007.

The provider is located at 5503 MARVIN SHIELDS BLVD SEA BEE BASE CLINIC GULFPORT, MS 39501 and the phone number is (228) 871-2810.

Military Health Care Provider with taxonomy code 1710I1002X and a focus in Independent Duty Corpsman.