Individual
HARRISON ROSS GALICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1970 ROANOKE BLVD BLDG 11, SALEM, VA 24153-6404
(540) 982-2463
Mailing address
1970 ROANOKE BLVD BLDG 11, SALEM, VA 24153-6404
(540) 982-2463
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101270751
VA
390200000X
Student in an Organized Health Care Education/Training Program
0116031683
VA
Other
Enumeration date
05/29/2018
Last updated
06/23/2022
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