The Chiropractor at Castlebury

NPI #1063903359 in Eagle, Idaho

Provider Information

NPI Number: 1063903359
Entity Type: Organization
Organization Name: The Chiropractor at Castlebury
Primary Specialty: Chiropractor
Enumeration Date: May 23, 2018
Last Updated: May 23, 2018

Practice Location

Address: 3225 W BAVARIA ST STE 101
City: Eagle
State: Idaho
ZIP Code: 83616-5547
Phone: (208) 884-8848

Authorized Official

Name: DR. GARY CRAIG ELLISON, DC
Title: MEMBER
Phone: (208) 884-8848

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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