Individual
JOHN C GALLIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
3176 CORPORAL JOHNSON ROAD, JBSA FORT SAM HOUSTON, TX 33809
(540) 220-0056
Mailing address
6858 ASHBURY DR, LAKELAND, FL 33809-7821
(540) 220-0056
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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